Muddy Creek Farms & Rehoming Facility for Unwanted Horses
Rehoming Application
Please send to us either by snail mail, as an email attachment, or copy and paste in the body of an email. Thank You The ADOPTION APPLICATION is free - no fees or any strings attached, and it's NOT considered a commitment. It just makes it a lot easier to "interview" people and get them pre-approved for adoption quicker.
Thank you very much for considering the adoption of a horse-in-need !!! IMPORTANT NOTES before completing the Rehoming Application:
PLEASE MAKE SURE YOUR E-MAIL ADDRESS IS SPELLED CORRECTLY (This is how we will contact you)
PLEASE do not try to fill it out here, you either have to print it, or copy and paste into another program.
PLEASE fill in every field and use "N/A" if a field doesn't apply to you. By completing this application you agree to a background check, as well as a humane background check.
Muddy Creek Farms & Rehoming Facility For Unwanted Horses
Rehoming Questionnaire / Application
Name: __________________________________________________________________
Address, City, State, ZIP: __________________________________________________
____________________________________________________________________
If at this address less than a yr, list previous address here: ___________________________________
___________________________________________________________________________________________.
Home Phone: _______________________ Cell Phone ___________________________
E-mail address: ___________________________________________________________
Date of Birth: ____________________________________________________________
Drivers License # ______________________________ State issued ______________
I have read the adoption procedures and adoption agreement (please initial) ___________________
I am aware that this horse can never be used for breeding (please initial) ______________________
I am aware that this horse may never end up at an auction for any reason (initial) _______________
I am aware that this horse can not be sold or given away to a dealer (initial) ___________________
Horse applying for: ________________________________________________________________________
Preferred breed, gender, age, size, color, etc:_________________________________________________
___________________________________________________________________________________________.
Preferred price-range (w/o transportation): ___________________________________________________
Does your family agree to this adoption: _____________________________________________________
Will there be children involved with the care of the horse: _____________________________________
If so, how old are they: ______________________________________________________________________
Will you pick up the horse yourself: ____________________________________________________
If not, will you be using us to haul: _____________________________________________________
What are your future plans and goals with this horse: ______________________________________
________________________________________________________________________________________.
Have you ever been responsible for the care of a horse before: ______________________________
If so, please indicate the circumstances: _______________________________________________
__________________________________________________________________________________________.
If not, do you have someone willing to work with you: ______________________________________
Who? Name, Address, Phone, E-mail: ________________________________________________________
___________________________________________________________________________________________.
How many years of horse experience do you have ? _________________________
Please list all horses you currently own: ___________________________________
_________________________________________________________________________
Please list all horses you owned in the past: ________________________________
_________________________________________________________________________
Why are those horses not with you anymore: _____________________________
_________________________________________________________________________
Please describe the facilities the horse will have: __________________________
________________________________________________________________________
Total acreage and size of pasture: _________________________________________
Size and type of shelter: __________________________________________________
Type and height of fencing: _______________________________________________
How many hours of pasture access per day: ________________________________
Will this horse have other horses for company: _____________________________
Is a stallion/stud-colt being kept on this property at any time: ______________
If so, why? _______________________________________________________________
Will this horse be kept on YOUR property: __________________________________
BOARDING - Facility Name, Contact Name, Address, Phone: __________________
__________________________________________________________________________
__________________________________________________________________________
VET - Name, Address, Phone: _______________________________________________
__________________________________________________________________________
FARRIER - Name, Address, Phone: ___________________________________________
__________________________________________________________________________
OTHER REFERENCE - Name, City, Phone, E-mail: _____________________________
__________________________________________________________________________
__________________________________________________________________________
I authorize Jennifer Seifert and/or Patricia Boyer of Muddy Creek Farms & Rehoming Facility for Unwanted Horses to check any and all of my
references, background check, and humane background check (please initial) _____________
Comments:
________________________________________________________________
________________________________________________________________
________________________________________________________________
By submitting this form, I understand and agree to the following:
When considering the adoption / rehoming of an equine it is important to be aware of the costs that accompany such an undertaking. In case of an adoption / rehoming, I will be responsible for providing the proper care and ongoing maintenance of the equine, this includes providing free access to water, proper feed, vaccinations, dental, farrier care and deworming, and I will also be responsible for arranging veterinary care in the event of illness or accident. I hereby authorize Muddy Creek Farms & Rehoming Facility for Unwanted Horses to contact any or all of my listed references and ask questions that might be relevant to the adoption / rehoming of a horse.