Adoption Application

Texas Highway 21 Horse Rescue

Equine Adoption Application 12992 State Highway 21 East Alto Texas 75925

“Because Every Horse Matters.”

Applicant Information

• Full Name: __________________________________________

• Date of Birth: ________________________________________

• Physical Address: _____________________________________

• City/State/ZIP: ________________________________________

• Phone Number: ________________________________________

• Email: _______________________________________________

• Driver’s License State & Number: _________________________

Household & Property Information

• Do you own or rent your property? ________________________

• If renting, landlord name & phone: ________________________

• Total acreage: _________________________________________

• Type of fencing (wood, barbed wire, electric, etc.): __________

• Shelter available (barn, run-in, lean-to): _____________________

• Who will be the primary caregiver? ________________________ Experience With Horses

• Years of horse experience: ______________________________

• Describe your riding or handling experience:

• Have you owned horses before? __________________________

• Do you currently own horses? If yes, list them:

• Farrier name & phone: __________________________________

• Veterinarian name & phone: _____________________________ Care & Commitment

• How many hours per day will the horse be observed? ________

• Who will care for the horse when you are away? _____________

• Describe your feeding plan (hay, grain, supplements):

• Describe your turnout routine: Horse You Are Interested In

• Name of horse: ________________________________________

• Why are you interested in this horse?

• Intended use (companion, light riding, therapy, etc.): Financial Responsibility

• Are you prepared for routine costs (feed, farrier, vet)? ________

• Are you prepared for emergency care? _____________________

• Monthly budget for horse care: ____________________________

References (Required)

1. Name: ____________________ Phone: ____________________

2. Name: ____________________ Phone: ____________________

3. Name: ____________________ Phone: ____________________

Membership Requirement Texas Highway 21 Horse Rescue requires an active membership to adopt or volunteer. Membership Level: ______________________________________ Certification I certify that the information provided is true and complete. I understand that falsifying information may result in denial of adoption.