HPL Adoption Application Form

Name

Street

City

State

Zipcode

Phone (H)

Phone (W)

Email

Have you ever owned a horse, pony or donkey?  Please Select Yes No    If so, please give details.

Where would the animal live? Please Select With me at home At a boarding stable Other     If Other, specify below.

Must the animal be rideable or driveable?  Please Select Yes No, I would be willing to accept a companion animal

Please describe the kind of animal you are looking for.

Please describe the type of activities that you want this animal for.

If you wish to adopt a riding horse, please describe the age, ability and approximate weight of each future rider.

Do you currently have a large-animal veterinarian? Please Select Yes No    If yes, please give name and address.

Do you currently have a farrier?  Please Select Yes No    If yes, please give name and address.

Would you need help in locating a veterinarian or farrier? Please Select Yes No

Additional Comments