Horse Application General InformationIf you would prefer to fill out a hard copy of this application, please email us at animalleaguewc@gmail.com.For which equine are you applying?(Required) Please choose application type. Adoption Foster Foster-to-Adopt Your Name(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Please describe what experience you have handling, caring for, riding and training equine.What are your goals with your adopted horse? What other information would you like to tell us so we can best help find the right horse for you?Equine Information & CareDo you currently own horses?(Required) Yes No How many horses do you own?(Required) Date of Most Recent Vaccinations(Required) MM slash DD slash YYYY Is/are your horse(s) current on Coggins?(Required) Yes No Don't Know What plans do you have or for which types of events will this horse be used?(Required) Will the horse be kept in a pasture?(Required) Yes No How many acres? Describe the pasture.(Required) Please describe your fencing.(Required) What type of shelter will be provided?(Required) Will the horse have access to fresh water? Please describe.(Required) What type of hay will be provided, if needed?(Required) Will the equine be located at a different address than at your residence?(Required) Yes No Please tell us the facility name, address (including city, state, zip), contact person and phone number.(Required)ReferencesEach of the below references must be separate individuals.Do you currently have a farrier? If not, we can help you find one.(Required) Yes No Please tell us your farrier's name and phone number.(Required) #1 Your Veterinarian(Required) First Name Last Name Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)#2 Equine Professional Reference(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)#3 Personal Reference(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Foster SectionWhat type of foster could you be?(Required) Regular Emergency Both Would you be willing to foster a horse with/from any of the following conditions? Check all boxes that apply. Horse seized by law enforcement & awaiting a hearing (judge may award custody back to owner) A horse for which ALWC has no background information (happens frequently with seized or abandoned horses) A horse with training issues A horse with health issues An older horse A horse that is too young to ride A stallion or newly gelded horse A horse that can't be ridden for any reason A mare that is in foal A horse with serious hoof problems such as founder For a horse with training issues, please describe your experience training horses.(Required) For a horse with hoof problems, please indicate your experience with hoof treatments.(Required) For a mare in foal, please describe your foaling experience.(Required) AcknowledgmentsAdoption Fee : The adoption fee may vary & is based on the amount of money the ALWC has invested in the horse (vetting, boarding, feed/hay, etc.) Animal League of Washington County is a 501(c)3 organization.I am applying to adopt/foster an equine from Animal League of Washington County (ALWC). I understand that I must complete the application process & have the equine property or boarding facility inspected & approved by ALWC before approval to adopt/foster the equine. I understand that I may not be approved to adopt/foster the equine for which I'm applying. I have read & understand the Adoption/Foster Policy of ALWC. My understanding includes, but is not limited to, my recognition & agreement that I may be subject to follow up visits by ALWC & its representatives; that I may never sell, give away, lease out, or loan the equine I adopt/foster; that the equine will be returned to ALWC if I am unable to keep him/her; & I may never use the equine for breeding purposes. I understand that ALWC is not liable in the event of injury, death or damage to any human, animal or property as a result of activities or actions of the equine I adopt/foster. I also accept all responsibility for any action or lien resulting from any action, directly or indirectly involving said equine(s) while in my care. This includes, but is not limited to, damages or injuries caused by the fact that the equine(s) do not behave or perform in the manner I expected. Further, if any third person makes a claim against ALWC or any of its employees or agents as a result of any conduct of the equine(s) in my possession. I agree to indemnify & hold ALWC, its employees & its agents harmless from any such claim, including costs & attorney's fees resulting from such claims.Check here to accept & acknowledge. SignatureDate MM slash DD slash YYYY Δ
