Online Adoption and Foster Application

About our application process:

When contacting professional references, we will seek verification that current equines are up to date for negative Coggins, have received standard vaccines and get regular farrier care. If you administer your own vaccinations, you will be asked to provide a receipt or shipping manifest showing proof of vaccinations purchased. If you board at a commercial boarding facility, they must require boarders to provide proof of current negative Coggins and vaccines.

Please answer all questions. Incomplete or blank answers or incorrect phone numbers will slow the approval process. If the question is not applicable to you, enter "N/A". We will also need pictures of your pasture, shelter, fencing and other horses on property. Please send pictures to mshorseapplications@gmail.com and put your last name in the subject line.

Personal Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Mobile Phone*

Other Phone

Email*

Date of Birth*

How long have you lived at the address above?*

Employer Name*

Employer Phone Number

What type of equine are you looking for? (Check all that apply)*

What is your intended use for your new equine?*

List the name(s) of any particular horse(s) that we have that you may be interested in.

This is for our information on the type of horse that interests you only. No promise is made to the availability of the horse(s) listed.

Have you previously owned and/or cared for a horse?*

Yes
No

How many?*

How many equines do you currently own?

How much and what type of experience do you have with horses?*

Living Conditons

Please completely answer the following questions describing where your horse will be kept, the living conditions at said location, and how the horse will be cared for.

Will you be boarding the horse or keeping it at your residence/farm?*

Horse will be kept at a boarding facility.
Horse will be kept at my personal residence/farm.
Horse will be kept at a friend's/relative's facility.

Name of Boarding Facility*

Phone Number*

The horse will be kept at the following physical address:*

Street Address Address Line 2 City State ZIP Code

Type of barn/shelter*

Horse paddock/pasture description and number of acres of fenced horse paddocks/pastures*

Type of fencing for horse pastures and paddocks*

Type of water supply in pastures and shelters*

How many horses and other equines are currently on the property?*

Are there any stallions?*

Yes
No

How often will your horse be fed?*

Will the horse have a separate enclosed area to eat?*

Yes
No

What feed, supplements, and hay do you normally use?*

Who will feed when the caretaker is not available?*

If you will be using this horse for riding, please list the names, ages, weight, and height of those people who will be riding the horse.*

References

We DO check references, so please inform your vet, farrier, and references that one of our representatives will be contacting them and give your permission for them to answer our questions.

Equine Veterinarian's Full name*

Equine Veterinarian Phone Number*

How long have you used this veterinarian?*

Farrier's Full name*

Farrier Phone Number*

How long have you used this farrier?*

If you do not currently have a large animal vet, please supply the complete name and phone number of your small animal veterinarian.*

Personal Reference 1*

Reference 1 Phone Number*

Personal Reference 2*

Reference 2 Phone Number*

Acknowledgement and Signature

Consent*

I agree to the terms below.

By checking the box and signing below, you are agreeing that all information contained in this application is true and correct to the best of your knowledge and that representatives of Mississippi Horse Rescue and/or The Safe Horse project have your permission to contact the listed references.

Signature