Equine Rescue and Rehabilitation

FALLEN OAK

EQUINE RESCUE AND REHABILITATION

Equine Foster Home Application

Name:______

Street Address:______

City:______State:______Zip:______

Home Phone:______Work Phone:______

E-mail Address:______Cell Phone:______

Applicant Experience/Knowledge Summary:

1. Is this your first time fostering an equine? Yes No

2. Do you currently own any other horses/equines? Yes No

3. Describe your experience with handling, caring for, riding, and/or training equines:

______

______

______

4. What is your riding ability? Beginner Intermediate Advanced

5. Are you willing to take a green or unhandled horse? Yes No

6. Are you willing to take a horse with temperamental or stable vices? Yes No

(example: bucking, biting, pawing, weaving, cribbing, etc……..)

7. Which of the following are you willing to financially provide for a foster horse?

Feed: Yes No

Hay: Yes No

Worming: Yes No

Farrier: Yes No

Vaccines: Yes No

Vet Care: Yes No

8. How long are you willing to foster a horse: ______

9. Please explain the facility where you will be keeping the foster horse:

______

______

______

______

10. Are you willing to show the foster horse to potential adopters? Yes No

Equines you are currently interested in fostering:

List equine names in order of preference:

1.______

2.______

3.______

4.______

Why are you interested in this/these equine for fostering potential?

______

______

References:

Please list (2) personal references not related to you, that have information about your ability to care for

and/or ability to train a horse/equine.

Name:______

Address:______

Phone Number:______

Relationship:______

Name:______

Address:______

Phone Number:______

Relationship:______

Please list your Veterinarian:

Name:______

Address:______

Phone Number:______

Length of Use:______

Please list your Farrier:

Name:______

Address:______

Phone Number:______

Length of Use:______

Background Check:

Have you ever been charged with or convicted of animal abuse? Yes No

If yes, please explain:______

______

______

Have you ever been arrested, convicted, or charged with a felony? YesNo

If yes, please explain:______

______

______

Please read before signing:

I understand that fostering a horse is a very big responsibility. I am sure that I am ready for this responsibility and that I have the knowledge and experience to care for the fostered equine as if it were my own.

I understand that Fallen Oak Equine Rescue and Rehabilitation, Inc. (Fallen Oak) will perform a property inspection before any equines may be moved to said property. I also understand that Fallen has the right to request that changes be made to the property before fostering may take place.

I understand that Fallen Oak has the right to refuse any foster home applicant, even if the applicant has been previously approved. I also understand that there is no guarantee that I will be awarded approval for equine fostering.

I understand that Fallen Oak will remain the owners of the fostered horses until they have been placed into a permanent adoption home and that they can be removed from the foster property at anytime. I also understand that fostered equines must remain on the foster property at all times, for the safety of both the foster parent and the equine

I promise to care for the fostered equine to the absolute best of my ability and that I will not exploit/sell/breed the equine for my own personal or monetary gain. I agree to contact Fallen Oak if I feel that I am unable to care for the fostered equine to the best of my ability or if my personal circumstances change.

My signature below signifies that all of that which I have stated above is honest and truthful. I also agree to allow Fallen Oak Equine Rescue and Rehabilitation, Inc. to use my listed information to perform a background check.

*The following information is required for a criminal background check. All information will be protected as private and confidential. The background check does not determine whether or not you are approved for equine foster care.

Date of Birth: _____/______/______

______Date ______

Applicants Signature

______

Applicants Printed Name

The following is for Fallen Oak Equine Rescue use only:

Application Approval: GRANTED DENIED

If denied, why? ______

Reviewed by:______

Equine(s) for Foster:______

______

______

File Number(s):______

______

Date of Foster:______

Foster Location:______

______

______