Surrender Form Details


Form Details:

First Name: Cara
Last Name: Fain
Address: PO box 600, Cedar Creek TX, 78612
Phone Number: 512-971-7540
Email: cara_fain@yahoo.com
Date Filled Out: 04/21/2022
Horse1:
Name: Cara Fain
Breed: Draft cross
Sex: Gelding
Age: 15
Horse Description: Large, palomino, white stripe on face.
Reason for Surrender: I pulled him from a poor situation, but do not have the time he requires to be a productive member of society.
I have another horse to surrender: No
Medical Release: I agree to provide any paperwork, coggins, or history to info@remedyranchrescue.org that I didn’t upload to this form.
Owner/Rescuer Release Agreement: I agree to the above terms and statements
Owner/Rescuer Electronic Signature:
Signature Date: 04/21/2022
Coggins:
Additional Medical Paperwork:

First Name: Shea
Last Name: Dahl
Address: 6231 Colony Creek
San Antonio, TX 78240
Phone Number: 210-772-4306
Email: SheaDahl85@gmail.com
Date Filled Out: 02/11/2022
Breed: OTTB
Age: 7
Sex: Gelding
Horse Description: Star, sock
Reason for Surrender: Testing form
Medical Release: I agree to provide any paperwork, coggins, or history to info@remedyranchrescue.org that I didn’t upload to this form.
Owner/Rescuer Release Agreement: I agree to the above terms and statements
Owner/Rescuer Electronic Signature:
Signature Date: 02/11/2022
Coggins: T-Shirt.PNG, website-development-htaccess.jpg
Additional Medical Paperwork: 9a25ebf445611cb11cc1f0a2d10cf4ae_campicon.png, 30085ce15d362960945128bbe38eec5d_rvicon (1).png, 866221260e1b968bf741e4a6a0aa519f_hikingicon.png, dc7be7ff4f5f02b9ccd6a94a2ab122c3_bikeicon.png, ec797f24fee90fb724ecf2b3812d7152_horsebackicon.png, f761a1200f3527684c5cdbb5cbe02c16_facilityicon.png