Equine ApplicationTravis Drilingas2023-03-06T10:09:33-06:00 Equine Adoption Form "*" indicates required fields Name of Animal Date* Month Day Year Applicant Name* Date of Birth* Month Day Year Age*(Must be 21) Email Address*(No P.O. boxes) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Daytime PhoneCell PhoneEvening PhoneOccupation Employer Adopting a companion animal brings a lot of responsibility, including annual visits to the veterinarian, vaccinations, and possible emergency care. This is more expensive than many people realize. Are you aware of and prepared to assume the financial responsibilities for your newly adopted pet?* Yes No I currently Own / Rent / Lease property where the horses will be pastured/sheltered.*(Choose one) Own Rent Lease Board Property Type House Condo Trailer Apartment Other For how long? If you Rent or Lease or Board, do you have the property owner’s permission to keep more horses?* Yes No We must contact the property owner prior to adoption.Property Owner’s Name*(Must Provide) Property Owner's Phone*Do you currently live with family or friends?* Family Friends No For how long?* How many other people live at your residence?* List*NameAge Add RemoveAs an adult, have you owned horses?* Yes No What type of horse?* What happened to him/her?* Do you currently have other animals?* Yes No List*NameType/BreedAgeSexSpayed/Neutered (Yes or No) Add RemoveIf you have not spayed/neutered your animal please explain why not.*Veterinarian(Must be provided)Veterinarian's Name* Veterinarian's Phone*Are you aware of the shots required for your horse?* Yes No Are you aware that all animals adopted from HSCC MUST be spayed or neutered with NO exceptions?* Yes No What are you prepared to spend on your pet yearly?*(vet care, farrier, etc.) Farrier(Must be provided)Farrier's Name* Farrier's Phone*Are you aware of the routine farrier work required for your horse?* Yes No Describe circumstances in which your horse will be kept.(pasture/shelter/etc.) Permission* I give my permission for the Humane Society of Calloway County (HSCC) to contact my veterinarian and farrier in order to verify that I have acted responsibly concerning the medical care for my animal in both consistency and in financial good standing.Initials* ADDITIONAL INFORMATION (add anything regarding your history with horses or why you want to adopt that you would like to on another page) Information* I acknowledge that all of the information on the entire Application is true and correct.Signature*Date* Month Day Year We Reserve The Right, In Our Sole Discretion, To Refuse Any Applicant. It is for the benefit of our animals. The HSCC appreciates your consideration for wanting to provide a loving home for an animal in need.You must be at least 21 to submit this application Δ
