Adoption Form

Remedy Ranch Rescue Adoption Application

Page 1 of 3

*These forms are held for 90 days. After that you will need to apply again and let us know if there is a specific horse you are interested in. An exception to this is if we are actively working with you to find your perfect horse; in this case the application will be considered waivered from the 90 day rule.A description of the section goes here.

Applicant Information

First Name*

Last Name*

Email*

Phone Number*

###

####

Address:

Line 1*

Line 2

City*

State*

Zip Code*

Emergency Contact Infomation

Emergency Contact Name*

Emergency Contact Number*

###

####

Relationship:

Reference Section

I have informed my references that someone from RRR may contact them regarding my application

Yes

Email*

Contact Number

###

####

Contact Number

###

####

Full Name*

Page 2 of 3

Equine Care Section

Farrier Information

Farrier Name*

Farrier’s Number*

###

####

Veterinarian Information

Veterinarian Clinic*

Veterinarian Name*

Veterinarian Number*

###

####

Veterinarian Address*

Boarding InformationIf Different from Address Provided

Boarding Facility

Barn Owner’s Name

Barn Owner’s Number

Facility’s Address

Current Horse(s) & Property

Current Horse(s)*

Property Image(s)*

Current Horse(s)

Adoption Form

Fill out the form below to begin the adoption process.

Adoption Form

Share this: