ADOPTION/FOSTER AGREEMENT

From AlexBrownRacing

New Life Equine Rescue Adoption/Foster Application

Name of equine you are applying to adopt/foster: ______________________________________________________________

Name of Applicant: ______________________________________________________________

Physical Address & Complete Mailing Address: ______________________________________________________________

______________________________________________________________

Age and Date of Birth: ______________________________________________________________

Home Phone: ___________________ Work Phone:____________________

Cellular Phone: __________________ Pager Number:__________________

What is the intended use for the horse: ______________________________________________________________

Will the horse be stabled on your own property or boarded out?______________________________________________________________

If on your property, number of acres the horse will be pastured on _________________________________

Total number of horses on this property: ____________________________

Is the property where the horse will be stabled the same as the address above:___________________________

If not, give address: ______________________________________________________________

______________________________________________________________

If boarded on someone else's property, we need the following information:

Name of boarding stable: ______________________________________________________________

Name of owner of boarding stable: ______________________________________________________________

Address of boarding stable: ______________________________________________________________

______________________________________________________________

Phone number of boarding stable: ______________________________________________________________

Will the equine be (circle one): Pastured Stall Kept Contained in Pen/Paddock

How often with the equine be turned out? _______________________________________________________________

Will the horse be kept alone or in the same enclosure as other animals? _______________________________________________________________

Please describe how you plan to feed the equine to insure that it does not have to compete for it’s full ration of feed:

_______________________________________________________________

_______________________________________________________________

What shelter do you have for the horse (i.e. barn, run-in shed): _______________________________________________________________

How many horses do you currently own: _______________________________________________________________

Have you sold any horses in the past five years: _______________________________________________________________

If yes, why were they sold: _______________________________________________________________

Please list name and phone number, with area code, of your current veterinarian or vet that you plan to use for equine care: _______________________________________________________________

Please list name and phone number, with area code, of your current farrier or farrier that you plan to use for equine care: _______________________________________________________________

If you have no prior experience dealing with equine or with special needs horses, will you agree to complete a basic horse care course administered by NLER? _____

Please provide the name, address, and telephone number of two close family members not living with you:

1. __________________________________________________________________

____________________________________________________________________

2. _____________________________________________________________ ____ _____________________________________________________________________

Please provide the name, address, and telephone number of four people who would attest to your good character and how you care for your animals:

1. __________________________________________________________________

____________________________________________________________________

2. __________________________________________________________________

______________________________________________________________ ______

3. __________________________________________________________________

____________________________________________________________________

4. __________________________________________________________________

____________________________________________________________________

Thank you for your interest in adopting/fostering an equine from NLER. Your application will be processed as quickly as possible.

New Life Equine Rescue 11942 Simpsons Mill Rd Keymar, MD 21757 Phone: 301-305-0702 info@nler.org www.nler.org

Click New Life Equine Rescue to go to NLER Main Page.