Desert Pines Horse Rescue Adoption/Sale Questionnaire

 

Thank you for your interest in adopting/purchasing your new horse from Desert Pines Horse Rescue.

Please complete the following questionnaire to assist us in finding your perfect heart horse.

 

Date ___________________________

 

Personal Information

Name ___________________________________________________________ Age _________________

                (Parent/Legal Guardian of Minor under 21 years old)

Name____________________________________________________________Age _________________

                (Minor under 21 years old)

Address ______________________________________________________________________________

City______________________________________________             State _____________       Zip __________

Phone_____________________________________________ Alternate Phone ______________________

Email(s)_______________________________________________________________________________

 

Financial Information

Where do you work? _______________________________What is your occupation? ________________

Do you work full-time, part-time, or are you self-employed? _____________________________________

If self-employed, please describe your profession. _____________________________________________

What is your household's total income? ______________________________________________________

Who will be paying for the care of the adopted horse? ________________________________________­­__

How much do you estimate your cost per year will be to own your adopted horse?_________________________________________________________________________________

 

You and Your Potential Adopted Horse

Why do you want to adopt a rescue horse? ___________________________________________________

______________________________________________________________________________________

What qualities would you like to have in a horse? (age, color, sex, size, temperament) _________________

______________________________________________________________________________________

What style and level of riding would you like to achieve? ________________________________________

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How often would you like to ride your horse? _________________________________________________

Will you be asking/allowing anyone else to ride your new horse? If yes, please describe their riding experience? ____________________________________________________________________________

______________________________________________________________________________________

What is your overall goal for your new horse? _________________________________________________

______________________________________________________________________________________

Are you interested in a specific horse? Please list the horse's name and describe why you would like this specific horse? _________________________________________________________________________

When would you like to adopt your new horse? _______________________________________________

What is the rider(s) height and weight? ______________________________________________________

 

Horse Experience and History

Do you have horse experience? If so, describe your experience (beginner, intermediate, advanced)? ______ ______________________________________________________________________________________

Have you owned a horse before? If so, describe your ownership length, strengths, weaknesses and abilities in caring for your horse? _________________________________________________________________

______________________________________________________________________________________

Do you currently own a horse? If so, please describe your horse(s)? _______________________________

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What style of riding (western/dressage/endurance/driving, etc. do you practice? ______________________   ______________________________________________________________________________________

How many years have you been riding? ______________________________________________________

How would you rate your riding ability? _____________________________________________________

What breeds of horses have you ridden and handled? ___________________________________________

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Do you have experience with training green horses? If yes, Please explain? _________________________

______________________________________________________________________________________

Have you ever trained a horse? _____________________________________________________________

Have you ever hired a professional horse trainer? If so, please describer your experience with your trainer?

______________________________________________________________________________________

Do you have a trainer working with you now? If yes, please provide their name and contact information? ______________________________________________________________________________________

Have you ever sold a horse? If so, why did you sell your horse and do you still have contact with the new owner? _______________________________________________________________________________

Are you considering the adoption of a mare for breeding purposes? _______________________________

If yes, describe your experience with breeding horses and foaling? Do you follow their life paths? _______ ______________________________________________________________________________________

 

Please complete the following information regarding your veterinarian and farrier...

Reference Information

Veterinarian Name_______________________________________________________________________

Veterinarian Address _________________________________________City ________State ___Zip _____

Veterinarian Contact Number(s) ____________________________________________________________

Veterinarian Email Address ____________________________________Fax Number _________________

 

Farrier Name___________________________________________________________________________

Farrier Address ______________________________________________City ________State ___Zip ____

Farrier Contact Number(s) ________________________________________________________________

Farrier Email Address _________________________________________Fax Number ________________

 

Boarding or Private Facility Information

Please provide the name, address and phone number of the boarding facility or private farm where the horse will stay. _________________________________________________________________________
Who owns the facility? ___________________________________________________________________

Do you live at the facility? ________________________________________________________________

Have you had horses at this facility before? ___________________________________________________

Will the manager/owner of the stable be willing to sign a form stating they will contact us... if you are late paying a bill or are not properly caring for the horse? ___________________________________________

______________________________________________________________________________________

If you DO NOT live at the facility, what is the monthly board fee? What does it cover? ________________

______________________________________________________________________________________

If you DO live at this facility, what do you anticipate paying a month to care for the horse? _____________

______________________________________________________________________________________

How many horses are currently at the facility? ________________________________________________

Will the horse have a stall and/or paddock? ______ What are the stall/paddock dimensions? ____________

How many stalls are in the barn? ___________________________________________________________

If your horse will have a stall, how many hours per day do you plan to have him/her stalled? ____________ ______________________________________________________________________________________

How often and how many hours per day will your horse be turned out? _____________________________

______________________________________________________________________________________

Does the facility have pasture? If yes, how many TOTAL acres? __________________________________

What type of fencing surrounds the pasture/paddock? Please describe in detail (type of material, # of rails/ strands, height). _________________________________________________________________________

How many other horses will be turned out with your new horse? __________________________________

Are mares and geldings kept separate or mixed? _______________________________________________

Who will be responsible for turning out your horse? ____________________________________________

Email completed Adoption/Sale Application/Contract to DesertPinesHorse Rescue@yahoo.com