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Note: Adopted horses remain the property of USERL. Adopters may not breed, race, sell or give away the adopted horse. Adopters must allow USERL to inspect their facility for safety prior to adoption, and access to check the horse thereafter at USERL's discretion. For more information, read our Adoption FAQ.
YOU MUST BE 18 YEARS OR OLDER TO SUBMIT THIS APPLICATION.
If you are a minor, please have your parent or guardian submit this form.
Adoption Application
Date:
Your Name:
Address:
City:
State:
Zipcode:
County (not country):
Phone (day):
Email:
Do you currenlty own a horse?
If yes, for how long?
Do you currenlty own or rent the property above?
If renting, name of property owner:
How long have you lived at the above residence?
If you are employed, skip to "Current Employer".  If you are not employed, please provide employer information for the person who will be financially responsible for the adopted horse*:
*Name of person who's employer information is below:
Current Employer:
City:
Phone:
How long have you been employed with this company?
1st Name:
Address:
Zipcode:
Phone:
2nd Name:
Address:
City:
Phone:
Facility Information:
Will the horse be kept at above address?:
If no, please provide information for the location where the horse will be housed:
Name of owner:
Address:
City:
Phone:
Type of shelter the horse will be provided:
If other, please describe:
Feed/Hay ($/yr):
Farrier ($/yr):
Veterinary Care ($/yr):
Board ($/yr):
What deworming method will be used?
EQUINE PREFERENCES:  the more flexible you can be with your specifications, the more likely we can match you with a suitable horse.
If a specific horse interests you, please enter the horse's name here:
Do you need an equine for riding purposes?
Acceptable heighth range of horse?
Acceptable age range of horse:
Are you interested in (check all that apply):
Horse
Pony
What is your breed preference?
Will you consider another breed?
Please check rider's experience level:
Riding less than 2 years.
I will consider a horse that is (check all that apply):
untrained
ground manners only
1st Name:
Phone:
2nd Name:
Phone:
Inhumane Violations Check:
If "yes", please explain:
I am at least 18 years of age.
Signature
Date:
Phone (evening):
Phone (mobile):
Have you previously owned a horse?
State:
Zipcode:
List two closest relatives not living with you (different residence):
Relationship to you:
City:
State:
Relationship to you:
State:
Zipcode:
State:
Zipcode:
Number of acres the horse will be pastured on:
Total number of horses on above acreage:
Type of fencing (USERL does not accept barbed-wire fencing):
Horse Care:  How much do you anticipate spending annually for the following:
How often will the horse's teeth be checked and/or floated?
What vaccines will you give and how often?
Mule
Donkey
Regularly rides on trails/pleasure.
Rides seriously (shows and events).
Is a professional trainer/instructor.
green
trained under saddle
very well trained under saddle
What do you intend to do with this horse?  Include age and weight of rider, intended riding use (trails, show, etc):
Please list two professional references who are familiar with your care and experience with horses (one must be a licensed veterinarian):
Have you ever been issued a warning/citation, or been convicted, for inhumane violations?
I certify that all of the information contained herein is correct and true.
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[Home] [About USERL] [Regions] [NC Horses] [VA Horses] [IN Horses] [KY Horses] [IA Horses] [Foster] [Adoption] [Volunteer] [Equine Neglect] [USERL Store] [Contact]