Screening Application

Horse / Hooved Animal Rescue Screening Application

Have you adopted an animal before?
YesNo

Do you breed animals?
YesNo

Is it your intent to breed this animal?
YesNo

Have you ever been investigated by any animal control agency or charged with or convicted of a violation of the Humane Care for Animals Act?
YesNo

Are you aware of the annual cost to care for a horse (feed, vet, farrier, board, etc.)?
YesNo

Have you been convicted of a felony before?
YesNo

If you currently own, or have previously owned a hooved animal, please fill out the following information.

If this is your first hooved animal, please skip this part.

Current on Vacinations?
YesNo

Do you still own this animal?
YesNo

The applicant certifies that the information provided herein and in his/her Rescue Screening Application is true and correct and they are at least 21 years of age. Appointments to see animals will be done on an individual basis after applications have been reviewed and veterinarian/farrier/trainer references have been checked.

Please click here to confirm that the above information is correct.

Please sign your full name here.

Please enter the date.

Enter your email here.