Applicant Type
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email Address
*
Are you over the age of 18?
*
Have you ever been charged with or convicted of animal abuse and/or neglect?
*
If Yes, please explain:
Do you currently own any equine?
If YES, tell us how many?
Please give us the date you last vaccinated your equine (s)
MM
DD
YYYY
Types of vaccinations your equine(s) received
Please give us the date you last wormed your equine(s)
MM
DD
YYYY
Which deworming product did you use?
Please give us the date you last had your equine(s) hooves trimmed
MM
DD
YYYY
Do you trim them yourself?
If No, please provide your farrier’s name and phone number
If you do not own any equine(s), have you owned any in the past and if so when and for how long?
Within the last 5 years have you given away or sold any equine(s), if so please explain?
Within the last 5 years have any equine(s) died while in your care, if so please explain?
Describe your experience with horses, handling, caring for horses, foaling, riding, training, showing.
Will the equine adopted/fostered be housed at the address stated on the first page?
If you selected No, please provide the following information
Facility Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Facility Contact Person
First Name
Last Name
Facility Contact Number
Stall size and hours of turn out?
If adopted/fostered equine will be pastured, at any time, please answer the following questions
Pasture Size
Number of other equine that will be kept in the same pasture
Describe the type of fencing that is used for the pasture
Who will be feeding the adopted/fostered equine?
Does this person have experience with equines?
How often do you plan on feeding the adopted/fostered equine?
How often do you plan on worming the adopted/fostered equine?
What type of worming products do you plan to use?
How often do you plan on providing veterinary care for the adopted/fostered equine?
I would be able to foster:
Foster Care Information: (For Foster Homes ONLY, if you only want to adopt, skip this section!)
I would be able to foster an equine that fits into the following criteria:
(please check ALL that apply)
How many fostered equine could you house on a regular basis? In an emergency?
Please list the names of the equine(s) that you are interested in adopting, in order of preference:
Adoption Information: (For Adoption ONLY, if you only want to foster, skip this section!)
What are you planning on using your adopted equine for?
How much time, per week, will you spend working with the adopted equine?
If the adopted equine is able to be ridden, how often do you plan to ride the equine each week, and for how long do you plan on riding?
Please list each person’s name, their age, height, weight and riding level
(1=no experience to 10=very experienced) of every person that will be riding the adopted equine:
Veterinary Reference Name
*
Reference Information: (You are responsible for getting all three of the reference forms signed and returned to the Lipizzan Rescue Foundation. The following information is for our records so that we can match applications and reference forms together if they are faxed, mailed, or e-mailed separately.)
Please check which applies:
Veterinary Phone
*
(###)
###
####
Veterinary Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Personal Reference #1 Name
*
Reference #1 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #1 Phone
(###)
###
####
Personal Reference #1 Email
*
Personal Reference #2 Name
*
Reference #2 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #2 Phone
(###)
###
####
Personal Reference #2 Email
*
Date
*
MM
DD
YYYY
Thank you! Your application will be reviewed. Our team is working to match each horse with the most suitable and loving home, and we're committed to ensuring the best possible outcome for both our horses and our adopters.
While we can't provide an exact timeframe for when the perfect match will come along, we want you to be assured that you are still an active part of our adoption process. If a Lipizzan horse becomes available that matches your preferences and circumstances, we will promptly reach out to you. Also, please notify us if you no longer want to be considered as an adopter/foster.
In the meantime, please feel free to stay connected with us through our social media channels, where we share updates, stories, and the remarkable journey of our Lipizzan horses. Your ongoing support means the world to us.
The LRF Team
