Your name/names:

Horse/Horses currently adoptable which interest you:

Your email address (Note -- your address is a user name, @ and a service, such as johndoe@aol.com. Your email address is not 'www.johndoe@aol.com'; if you insert a www your email will not be delivered to you and we will not be able to reply to you. If you do not list the service (just johndoe without the @aol.com) we will not know who your provider is and will not be able to email you.)

Primary Adopters Age:          

Address:

City: , State:   Zip:

Phone #s:

        Home phone # including area code, please:

        Work phone # including area code, please:

First Rider's Information:

        Height: ,     Weight: , Age:

        Years of riding experience:

        Describe this person's riding skills:

Second Rider's Information:

        Height: , Weight: , Age:

        Years of riding experience:

        Describe this person's riding skills:

Third Rider's Information:

        Height: , Weight: , Age:

        Years of riding experience:

        Describe this person's riding skills:

Primary intended use of the horse: (ie trail, youth, showing, companion only, handicapped program, riding lessons, etc):

Do you have an experienced barn manager, trainer, or horse-experienced friend that will be assisting you? Y/N

        If yes, please provide name, phone #, and experience:

RESPONSIBILITY FOR CARE:

Have you ever been the primary person responsible for a horse or pony before? Y/N

        If yes, please provide details as to your experience, how long ago, what circumstances, for how long, 

                how many horses, etc.

        If no, will you be boarding this horse or will you have an experienced handler immediately available to you? 

                Please explain in detail.

If boarding, please provide the name, address and phone # of the planned boarding facility, as well as the pasturing terms for boarding (ie daily turnout, pasture board, etc):

If not boarding, please describe the shelter the animal will have as well as pasture and stalls if any (3-sided shelter with free access to pasture is ideal for most horses)

What type of fencing encloses the horse's turnout and how large is the area?

How long will the horse be pastured each day?

Specifically, what one individual will be responsible for the primary daily care? (if different from boarding manager and adopting individuals listed above please provide details of this individual's experience, etc.)

Please list the other animals in your care, including their species and ages:

Have you ever had to take a domesticated animal to the humane society or otherwise dispose of, other than putting to sleep a family pet in need? If so, please provide details:

Do you agree with/accept the worming/farrier/vet care/feed and water schedule outlined in our adoption contract? Y/N (if No, please express in detail your desired deviations and reasoning)

Applicant References (please do not use immediate family members):

VET:

        Name of your vet:

        Address, with city/st:

        Phone #:

        Is this the vet who will care for your horse? Y/N

        If no, do you have a large animal vet, or know someone who is familiar with a large animal vet who you will be 

                selecting as the primary care for this horse?

FARRIER:    

        Name of your farrier

        Address with city/St:

        Phone #:

        Have you used this farrier previously? Y/N

        If no, and you are not boarding, has someone you know and trust recommended this farrier for you? 

        (Boarders usually use the barn's selected farrier. This is perfectly normal and absolutely acceptable.)

Horse Experience Reference (trainer, instructor, riding partner, stable owner). Please list someone who will know you personally and can comment on your ability to care for this animal in the manner you have listed (especially if horse will be kept at home.)

        Name:

        Address:

        Phone:

        How long have you known this person?

        Describe your horse experience with this person;

Personal Reference #1:

        Name:

        Address:

        Phone:

        How long have you known this person?

Personal Reference #2:

        Name:

        Address:

        Phone:

        How long have you known this person?

"The Fine Print"

Crosswinds Equine Rescue, Inc. would appreciate receiving pictures of the shelter and turnout area where you intend to board the horse. We would also appreciate pictures of any animals you own now. These pictures will be returned promptly if you include a self-addressed envelope.

Thank you for your interest in adopting from Crosswinds! We will respond to your application as promptly as possible.

NOTE: According to the law, you are responsible for providing the proper care and ongoing maintenance of the horse. This includes providing appropriate year round shelter, free access to water, proper feed, inoculations, dental care, hoof care and worming. You are also responsible for providing veterinary care as necessary in the event of illness or accident.

Signature of applicant or person responsible for the horse's care, verifying all information provided herein is true and accurate to the best of your knowledge. By entering your initials in the box provided, this is the same as legally signing your name to a printed version of this document.

Accepted: (enter initials here)     Date: (enter date here)