Hugs2Horses
Name of applicant:___________________________________________________
Address:__________________________________________________________
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Home Phone:________________________ Work Phone:____________________
Employer:__________________________________________________________
Address: __________________________________________________________
How have you been employed by above:_________________________________
Annual Income:________________________
If you rent your home:
Landlord's Name:___________________________________________________
Landlord's Phone:___________________________________________________
Will the horse be kept on your property? ---Yes________ No________
If yes, describe the area and shelter provided: (include map or drawing)
___________________________________________________________________
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If no, list the address and description of the boarding/training facility:
___________________________________________________________________
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Trainer/Manager and Phone: __________________________________________
Do you currently own a horse? ---Yes _______No _______How many? __________
If yes, please describe: _______________________________________________
If you previously owned a horse, please explain what happened to it: ____________________________________________________________________
What type of horse are you specifically interested in?
Age ________________Breed:__________________
Height ______________Range of training _________________________
What is the height and weight of rider(s) __________________________
Briefly describe your level of expertise in the following areas:
Riding:
___________________________________________________________________
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Handling:
___________________________________________________________________
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Training:
___________________________________________________________________
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Have you ever tamed and/or trained a wild or young, or similar horse?---Yes____ No___
If yes, please describe the methods you used: ____________________________________________________________________
Who will ride the adopted horse?_______________________________________
Who will be responsible for feeding your horse:_____________________________
Training your horse:_________________________________________________
General care of your horse: ____________________________________________
How much do you anticipate spending yearly for feed? _______________________
Medical care?___________ Worming ? ___________ Farrier ? ______________
How often do you feel a horse should be wormed?__________________________
How often do you feel the hooves should be trimmed?________________________
How often should the teeth be floated? _____________________________________
How often should a horse receive vaccinations? ____________________________
Who will be your veterinarian? _______________________ Phone: ____________
Who will be your farrier ? __________________________ Phone: _____________
Why do you want to adopt a horse? ____________________________________________________________________
Have you ever been issued a warning/citation for humane violation? ---Yes_____ No_____ (include a copy of every family members driving license.)
If yes, please explain: ______________________________________________________________________
Hugs would like to inspect your property/barn, when would be a convenient time? ______________________________________________________________________
Please provide three references:
Name: _____________________________________Phone: ________________
Name: _____________________________________Phone: ________________
Name: _____________________________________Phone: _______________
I/We certify that all the information contained herein is true and correct.
Signature: ___________________________________ Date:_________________
Signature: __________________________________ Date:_________________
Send donations to: Hugs2Horses, Inc.,
P.O. Box 71, Fowlerville MI 48836
Phone for more information: 517-223-3263 or email care@hugs2horses.com
State of Michigan
I agree to have the State of Michigan along with the State Police Department give any information in background checks relating to this application.
Signature of Applicant: