Name:

Address: City: State: Zip Code:

Day time phone number (with area code):

Are you over 21 years old?

Yes: No:

What is the intended use for the horse?

Will the horse be boarded at your own property 

or at a public boarding facility?

Number of acres the horse will be pastured on:

Total number of horses on this property:

If not your own property, please provide the following asked information:

Name of boarding facility:

Name of owner of boarding facility:

Address of boarding facility:

City:

State:

Zip Code:

County:

Phone number with area code:

What shelter will be provided for the horse (please check one)?

Barn: Run-in shed: Other (please specify):

How many stalls are at this (yours or others) facility?

What is the size of the stall where the horse will be boarded?

How many horses do you currently own?

Have you sold any horses within the last 5 years?

Yes No

If yes, why were they sold?

Please list two (2) references (with phone numbers) familiar with your care of and experience with horses
(please specify the relationship you have with the listed persons and please don't name references who are family members or who are under age):

What is your experience with horses?

What is your riding level:
Beginner:
Intermediate:
Advanced:

Do you have experience with foals/young horses:

Yes: No:

Are you planning to work with a trainer?

Yes: No:

Describe the type of horse you are looking for (i.e. sex, size, temperament etc.):

If there is a specific animal that has been posted that you would like to adopt, please note here: