KY Horse Rescue Equine Adoption/Foster Application

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Postal Code *

Home Phone *

Cell Phone *

Work Phone

Email Address *

Applicants must be
over the age of 18.
Are you over 18? *

Yes

No

Will the horse be
kept at the address
above? *

Yes

No

If no, please put down boarding address and name.

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An application fee of $20 is required, if not paid when or shortly after application in submitted, then you will not be elligible to adopt. This can be paid through PayPal to: Donations@KYHorseRescue.com *

I Understand

Do You currently own any equine? *

Yes

No

If yes, how many
do you own?

1	2-3
3-4	5+

If you currently own any equine, please put down when they were last vaccinated and aprox. date.

If you currently own any equine, please put down when you have hooves trimmed.

Farrier's Name and Phone Number. *

Have you sold any equine in the last 5 years? Please Explain. *

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In the last 5 years have any equine died in your care? Please explain. *

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What experience do you have with horses? *

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Do you have a barn for the equine? *

Yes, a run-in.	Yes, a stall.
Yes, a full sized barn.	No

What size is the equine's pasture? *

1 acre or less	2-5 acres
5-10 acres	10-20 acres
20+ acres

How many horses will be kept in the same pasture? *

0	1-2
3-4	5+

Is their available shelter in pasture? *

Yes, a run in.	Yes, woods.
Yes, a barn.	No.

What type of fencing do you have? *

Who will be feeding the adopted horse(s)? *

Does this person have experience with horses? *

Yes

No

How often do you plan on feeding the equine? *

How often do you plan on deworming the equine? *

What brand of dewormer do you use? *

How often do you plan on taking the horse to see a vet? *

What do you plan to use your adopted equine for? *

What is your riding level?

Beginner	Novice
Intermediate	Advanced

I am applying the horse named:

If horse is adopted, or you are applying for more then one horse, select what you are looking for in a new family member:

Aged 20+	Aged 15-20
Aged 10-15	Aged 4-10
Aged 1-3	Beginner Safe
Broke to Ride	Green Broke
Lead Broke	Trained for an Event
Calm	High Energy
Fast	Slow
Non-Gaited	Gaited
Companion Horse	Mare
Gelding	Colt
Filly

Veterinarian Name: *

Veterinarian Phone Number: *

Veterinarian Address: *

I have used this vet for: *

0 Years	1-2 Years
3-4 Years	5+ Years

Personal Reference #1, Full Name: *

Personal Reference #1, Phone Number: *

Personal Reference #1, Address: *

Personal Reference #2, Full Name: *

Personal Reference #2, Phone Number: *

Personal Reference #2, Address: *

I understand that by filling out and signing this application, I am applying to adopt an equine from the KY Horse Rescue, Inc. I understand that my application will have to be approved before I am able to adopt an equine from the KY Horse Rescue, Inc. I also understand that my application may be denied for any reason and I may not be able to adopt an equine from the KY Horse Rescue, Inc. I also agree that the personal information listed in this application may be used to do background checks, including criminal records to verify my personal information. By signing this application I am stating that the above answers are true and have been answered to the best of my ability. Signed: *

Date: *