Mountain States Horse Rescue and Rehab

ADOPTION APPLICATION

If you found a horse on our adoption page that you are interested in, you must fill out an adoption application in order to be considered for that animal.

If you would prefer to snail-mail a form, click here, otherwise please complete this form and submit.


  1. Please provide your name, address, and phone number.

    2. Name
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Work Phone
    FAX
    E-mail

  2. Please describe the type of horse that you are seeking to adopt; (i.e. size, sex, temperament, soundness, age, etc):

  3. What breed of horse are you interested in?

  4. Please state if the horse is to be a family horse, the expertise of the rider(s), desired level and experience of horse:

  5. Please describe the activities in which the horse will be involved (show, 4-H, trail, jump, drive, companion animal) :

  6. Is there a specific horse in residence at MSHRR that you are interested in?

  7. Would you be willing to adopt a horse with limitations (i.e., lameness, injury, etc.)? Please describe what you would/would not accept.

  8. If you own a property, how many acres will the horse be pastured on?

  9. Do you own any horses now?

  10. If yes, for how many years have you been a horse owner?

  11. How many horses do you currently own?

  12. If the horse is to be boarded at a location other than the above address, please list:
    13. Stable
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country

  13. What type of shelter will be provided for the horse?

    14. Barn
    Run-in-shed
    Other

  14. Who will be caring for this animal?

  15. What is the name of the person caring for the animal?

  16. If the primary caregiver is under 18, please state the age.

  17. Have you sold any horses in the past 5 years?

  18. If yes, how many horses and why were they sold?

  19. Please provide the name, address, and phone number of your veterinarian.

    20. Name
    Business Name
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country
    Work Phone
    FAX
    E-mail

  20. Who will be your farrier?

    21. Name
    Business Name
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country
    Work Phone
    FAX
    E-mail

  21. What is your experience with horses?

  22. List one additional reference familiar with your care and experience with horses:

    23. Name
    Title
    Organization
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country
    Work Phone
    Home Phone

  23. Please list a second Reference:
    24. Name
    Title
    Organization
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country
    Work Phone
    Home Phone

    MSHRR will require that all applicants have the above information verified by MSHRR prior to their acceptance into the Adoption Program.

    Animals adopted from MSHRR include no guarantees regarding soundness or temperment. MSHRR requires the payment of an adoption fee payable at receipt of animal that varies according to the animal.

    Your application will be placed in our files. We will contact you if a horse who fits your needs becomes available for adoption.

  24. Your signature (typed in will be fine):

  25. Enter today's date:

  • EMAIL ADDRESS (MUST INCLUDE)

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