Pets Alive Animal Sanctuary

Horse Adoption Application

Welcome to Pets Alive adoption program. We request the following information so that we can assist you in the selection of a new horse. This form and a consultation with a Pets Alive representative are designed to help you find the horse most compatible with your lifestyle.

Name (required)
Street Address
City
State
ZIP Code
Phone (Home)
Phone (Work)
E-mail address (required)
Age
Do you own or rent your home?	Own Rent
If you rent, please tell us your landlord’s name and phone number:
Are you zoned for farm animals where you live?	Yes No
Please tell us why you would like to adopt a horse from Pets Alive:
Our goal is to adopt our horses to people who are committed to lifetime care for the horses they adopt. The only way we can continue to help more horses is if we are able to place our horses into these types of homes. We also understand that sometimes things happen that can disrupt the best of plans and/or intentions. So while we will be asking you to agree to return the horse to the sanctuary if circumstances occur where it becomes impossible for you to keep the horse, we also ask that you consider this next question very carefully:
If the horse you adopt is rideable, do you agree to provide care for the horse for the rest of his/her life, even after he/she can no longer be ridden?	Yes No
If you are approved for adoption, will this be your first horse?	Yes No
Are you willing to have a Pets Alive Horse Committee representative do a property and facility check?	Yes No
If you adopt a horse from Pets Alive, what would your expectations of the horse be?
How would you describe your level of experience with horses?	Novice Beginner Intermediate Experienced Professional
Please briefly describe your experience with horses:
Do you currently have a horse(s)?	Yes No
Explain what style or type of training techniques you prefer:
If you have had horses in the past, please tell us what they were used for and why you do not have them now:
How often do you feel a horse should be wormed?
How often do you feel a horse’s teeth need to be floated?
How often do you feel a horse’s feet should be done?
What is your opinion on shoeing a horse?
Do you have a specific breed preference or type?	Yes No
If yes, what is it?
Preferred age range:
If you are interested in adopting a pasture pal, what other animals would the horse be living with?
How much do you anticipate spending yearly for feed, veterinary and farrier care, medications, special dietary needs, and board?
Tell us what types of vaccinations a horse should receive in your area, and how often:
How much do you anticipate spending yearly for feed, veterinary and farrier care, medications, special dietary needs, and board?

Tell us who will be responsible for the horse’s...
Feeding:	Age: Experience level:
Training:	Age: Experience level:
General care:	Age: Experience level:
Administering medications:	Age: Experience level:

Will the horse live on your property?	Yes No
If yes, what type of fencing do you have? (Barbed wire fencing may be problematic, so we’ll need to discuss possible solutions.)
If no, please list the name, address and phone number of your boarding facility:
If the horse is to be boarded, how often and for how long will the horse be turned out?
What type of fencing does the facility have?
How big is the turnout area or pasture that the horse will have access to?
If you are interested in a riding horse, what would you like to use the horse for (e.g., trail riding, dressage)?
How hard and how long would you like to be able to work the horse?

What is the approximate age, height, and weight of the person(s) who will be riding the horse?
Rider 1:	Age: Height: Weight: Experience level:
Rider 2:	Age: Height: Weight: Experience level:
Rider 3:	Age: Height: Weight: Experience level:
Rider 4:	Age: Height: Weight: Experience level:

Please provide us with your veterinarian’s information:	Name: Phone: Address: City: State: Zip Code:

Please provide two references, people not related to you, who can testify to your abilityto provide and care for a horse:
Reference 1:	Phone:
Reference 2:	Phone: