Indiana Horse Rescue

 

Instructions:

Due to the overwhelming amount of paperwork involved in processing applications, IHR has now posted examples of references needed.  Applications may still be submitted online or sent via postal mail.  However, we now require that the applicant gather all information needed to have your application processed.  This requires that you have your references complete a personal reference form or write a letter of reference for you along with having your vet office write a letter of reference or complete the vet reference form.  We also require pictures of your facility, showing the barn/shelter for horses along with the type of fencing used.  This enables us to process your application much quicker to help you in your search for the right horse!

Applications can be processed while you are at the Indiana Horse Rescue facility should you have an interest in a horse and have your paperwork together and with you at that time.

 

Send e-mail to kathryn@indianahorserescue.com
or you may print and mail the completed form to:

Animal Protection Coalition, Inc.
Equine Division
10254 W 800 S
Owensville, IN 47665
(812) 729-7697

PDF and Word Files of this form are also available by clicking below:

PDF          Word File

 

Animal Protection Coalition, Inc. & Indiana Horse Rescue
Equine Adoption/Foster Application

Applicant Information:

Please check each option that applies:     I'm an Adoption Applicant          I'm a Foster Applicant

Name:
Mailing Address:
City:           State:           Zip Code:
County:
Home Phone Number:           Work Phone Number:
Mobile Phone Number:           E-mail:

All Applicants MUST be 18 years of age or older. Are you 18 years or older?     Yes          No
Have you ever been charged with or convicted of animal abuse and/or neglect?     Yes          No
If you answered Yes, please explain:

Membership Information:

Are you a current Member of Animal Protection Coalition, Inc.?     Yes          No
If Yes, please tell us your Membership Expiration Date:

Equine Related Information:

Do you currently own any equine?     Yes          No          If Yes, how many?
Please give us the dates and types of vaccinations your equine(s) were last given:


Please give us the dates and types of dewormer your equine(s) were last given:

Please give us the date you last had your equine(s) hooves trimmed:
Do you trim your equine(s) hooves yourself?     Yes          No
If No, please give us 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, how long did you own them?

Have you given away or sold any animals in the past 5 years? Yes        No
If yes, how many and why were they given away or sold:

Have any animals died in the past 5 years? Yes        No
If yes, how many and why did they died:
  

What is your experience with animals?

Will the equine(s) be housed at the address above?     Yes          No
If you selected No, please provide the following information:
Boarding Facility Name/Property Owner:
Facility Address:
City:       State:      Zip Code:
Contact Person:      Facility Phone Number:

Facility Information:

If your adopted/fostered equine(s) will be kept in a barn, please answer the following:
Stall Size:       How many hours will the equine(s) be turn out to pasture?

If your adopted/fostered equine(s) will be pastured, at any time, please answer the following:
Pasture Size:      Number of other equine kept in same pasture:
Describe the type and size of pasture shelter:

Describe the type of fencing used:

Equine Care Information:

Who will be feeding the adopted/fostered equine(s)? Please give ages and describe their experience with equine(s).
How often do you plan on feeding the adopted/fostered equine(s):
How often do you plan on deworming the adopted/fostered equine(s):
Type of dewormer(s) to be used:
How often do you plan on having the horse's hooves trimmed?
Do you plan to trim them your self?      Yes         No
If No, please provide the name and phone number of the farrier you intend to use:

How often do you plan on taking the adopted/fostered equine to visit a veterinarian?

Foster Care Information: (For Foster Applicants ONLY, if you want to adopt skip this section)

I would be able to foster: (Please circle ALL that Apply)
Average Horse        Pony        Miniature Horse       
Average Donkey/Mule        Miniature Donkey        Draft Horse        Draft Mule

I would be able to foster an equine that fits into the following criteria: (Please check ALL that Apply)
An equine with health problems
An equine with training issues
An equine that is too young to ride (foal to 2 years)
An equine that can not be ridden for any reason
An older equine (25+ years old)
An equine that is in foal
An equine that was seized by law enforcement, while waiting on a hearing (The owner may be awarded custody of the animal by a judge.)
An equine with serious hoof conditions (Founder, Laminitis, Navicular, etc.)
A stallion or newly gelded equine

How many fostered equine could you house on a regular basis?
In an emergency?            
 


Adoption Information: (For Adoption Applicants ONLY, if you only want to foster, skip this section!)

Please list the name(s) of the equine(s) you are interested in adopting, in order of preference:
1.      2.
3.      4.

If you do not have a specific horse in mind, please describe the type of equine you are looking for:

What are you planning on using your adopted equine(s) for?


How much time, per week, will you spend working with your adopted equine(s)?
If the adopted equine(s) can be ridden, how often and for how long do you plan to ride?

Please list each person's name, age, height, weight, and riding experience (1=no experience to 10=very experienced) of every person that will be riding the adopted equine(s):

Reference Information: (For Adoption AND Foster Applicants, you are responsible for getting all three reference forms/letters signed and returned to Animal Protection Coalition, Inc. The following information is for our records, so that we can match the applications with the correct reference forms if they are faxed, mailed, or e-mailed separately!)

Veterinarian Name

Address

City

State

Zip Code

Phone

Is this the: 
Veterinarian you plan to use?    or
Your current veterinarian (please mark which)

Please provide two additional references (not related) familiar with your experience with animals:

Please have your references complete the form below to bring with you, call or e-mail your reference in.  We will need to know the length of time they have known you and any additional information they feel will help us make a determination in your favor to adopt a horse.
Personal Reference Name #1

Address

City

State

Zip

Phone Number (including area code)

Personal Reference Name #2

Address

City

State

Zip

Phone Number

Animal Protection Coalition, Inc. will require that all applicants have their information verified prior to acceptance in to the Adoption Program. Each application must have a written or verbal recommendation from their Veterinarian and two other adults who have knowledge of the applicant for a minimum of two years.

Animals adopted from Animal Protection Coalition, Inc. include no guarantees regarding soundness or temperament. Animal Protection Coalition, Inc. requires payment of an adoption donation prior to the animal leaving the rescue facility.

Your adoption application will be placed in our files, it is good for two years.  We will make all attempts to contact you if an animal fitting your needs becomes available for adoption, however we ask that you also watch the website.

Electronic Signature

Date


Some of the forms we use are PDFs. You can download the FREE Adobe Reader to view and print these forms by clicking here.

Personal Reference Form     PDF          Word File

Veterinarian Reference Form     PDF          Word File

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