(PAGE 1)
PLEASE
TYPE YOUR ANSWERS IN, THEN PRINT.
YOUR FULL NAME:
YOUR STREET ADDRESS (AND/OR PO BOX):
YOUR CITY, STATE, AND ZIP CODE:
YOUR HOME TELEPHONE NUMBER:
YOUR HOME E-MAIL ADDRESS:
YOUR WORK TELEPHONE NUMBER:
YOUR WORK E-MAIL ADDRESS:
YOUR FAX NUMBER:
DO YOU CURRENTLY OWN A HORSE? YES OR NO: IF YES, HOW MANY?
DO/DOES YOUR HORSE/S LIVE AT YOUR BARN? YES OR NO:
IF BOARDED, WHO MAY WE CONTACT? FULL NAME:
NAME OF BARN:
STREET ADDRESS:
CITY, STATE, ZIP CODE:
TELEPHONE NUMBER: E-MAIL ADDRESS:
WHAT TYPE OF FENCING WILL BE PROVIDED?
WHAT BREED OF HORSE WOULD YOU PREFER? PLEASE LIST IN ORDER OF PREFERENCE:
1.
2.
3.
4.
WHAT IS YOUR COLOR PREFERENCE? PLEASE LIST IN ORDER OF PREFERENCE:
1.
2.
3.
WHAT IS YOUR PREFERRED SEX? ARE YOU INTERESTED IN A
MARE, GELDING, STALLION, ANY PREMARIN FOAL? YES OR NO:
After printing, CLICK HERE to go to page 2 of the Adoption Prospectus.