Equine Adoption and/or Foster Application

Applicant Type
Name *
Name
Address *
Address
Phone *
Phone
Are you over the age of 18? *
Have you ever been charged with or convicted of animal abuse and/or neglect? *
Do you currently own any equine?
Please give us the date you last vaccinated your equine (s)
Please give us the date you last vaccinated your equine (s)
Please give us the date you last wormed your equine(s)
Please give us the date you last wormed your equine(s)
Please give us the date you last had your equine(s) hooves trimmed
Please give us the date you last had your equine(s) hooves trimmed
Do you trim them yourself?
Will the equine adopted/fostered be housed at the address stated on the first page?
If you selected No, please provide the following information
If you selected No, please provide the following information
Facility Address
Facility Contact Person
Facility Contact Person
If adopted/fostered equine will be pastured, at any time, please answer the following questions
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)
Adoption Information: (For Adoption ONLY, if you only want to foster, skip this section!)
(1=no experience to 10=very experienced) of every person that will be riding the adopted equine:
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 Phone
Veterinary Address
Veterinary Address
Reference #1 Address
Reference #1 Address
Reference #1 Phone
Reference #1 Phone
Reference #2 Address
Reference #2 Address
Reference #2 Phone
Reference #2 Phone
I understand that by filling out and signing this application, I am applying to adopt and/or foster an equine from the Lipizzan Rescue Foundation. I also understand that my application must be approved before I will be allowed to adopt/foster an equine from the Lipizzan Rescue Foundation. I also understand that my application may be denied for any reason and I may not be able to adopt and/or foster an equine from the Lipizzan Rescue Foundation. I also agree and understand that the information provided in this application may be used to request background checks, including criminal records to verify personal information. By signing this application, I am stating that all information provided is true and I understand that there may be consequences to providing faulty information. My signature below indicates that I understand all pages of this contract and agree to be bound by its terms in its entirety.
Date *
Date

Please note: A complete Application includes; this Application, $25.00 Application Fee (If you do not have a current application with LRF on file.), 2 Personal Reference Letters, A Veterinary Reference Form/Letter, and Photos of the facility where the equine will be kept. If any of these documents are missing our staff will not be able to complete the Approval Process! Please make sure you have all documentation when submitting your Application. Thank you!