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Wed, Jun 22


Fairmount City


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Time & Location

Jun 22, 2022, 7:00 PM – Jun 23, 2023, 7:00 PM

Fairmount City, Fairmount City, PA 16224, USA

About the event


Hope Equine Rescue

337 Townline Road Fairmount City, PA, 16224

Adoption Application

Adopter Information:

Name ______________________________________________ Email (if any)_________________________________________________

Address_____________________________________________________ Phone – Home (_______) ______________________

City ____________________________ Zip Code __________________ Cell (_______) ______________________

Driver’s License Number ___________________________________

Do you work Full time? Part time?


Equine Requirements:

Application for: Horse Pony Miniature Horse Donkey Mule

Is there a specific animal at Mending Hope Equine Rescue? _________________________________

Is there a specific breed/height/age you prefer? _________________________________________________________________

What level of training would you prefer the equine to have?

Untrained Started Green Moderate Experience Well trained

What riding discipline is your primary focus? ________________________________________________________________

How often will the equine be ridden/driven? _________________________________________________________________

What is your overall goal for your adopted equine? __________________________________________________________

Rider Information:

How long has the primary rider been riding? ___________________________________________

Please select the most appropriate skill level of the primary rider:

Beginner – very little, if any, experience riding/handling horses

Advanced Beginner – able to apply basic aids, comfortable at walk & posting trot

Intermediate – confident riding walk, trot, and canter on a quiet, reliable mount

Advanced Intermediate – can W/T/C regularly, jump a course, can communicate with horse effectively

Advanced – confident, independent seat, soft hands, can handle a spirited horse

Trainer – highly skilled, can start & finish horses, can handle young/difficult horses

Does the primary rider work with a trainer or riding instructor? If yes, please tell us who:

Name: __________________________________________, Phone (______) __________

Facility Information:

Where will this animal be living? Boarding facility Private residence

Address ______________________________________________________________________________________________________

Who owns this property? Please list phone number _____________________________________________________

What is the approximate size of the turn-out area? ______________________________________________________

What type of fencing is used? ______________________________________________________________________________

What will be used for shelter? stall run-in shed other shelter ___________________

Who will be handling this animal on a daily basis for feeding, watering, and turning out?



Who will care for the animal when you are unavailable to do so (vacation, illness, etc.)?


Please list the farm animals you currently own or owned in the last 2 years.

Species/Breed Age Sex Neutered? If no longer owned, what happened to the pet?


Which veterinarian will you use for equine care?

Name ______________________________________________________

Phone number (_______)___________________________________

What farrier do you intend to use for this animal?

Name _______________________________________________________

Phone (_______)_____________________________________________

This information will be

used to help provide you with the best possible equine match.

By signing, I affirm that I am 21 years of age or over, and the information contained on this form is

true to the best of my knowledge.

____________________________________________ __________________________________

Signature Date

*Please provide pictures of current animals.

*Please provide pictures of turn out areas.

Fencing requirements:

**All unhandled horses must have six foot high sturdy fencing.

Mending Hope Equine Rescue does not allow barbed wire fencing.

*Pre-purchase exams by your veterinarian

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