Preliminary Adoption Application

Name*

First Last

Rider Age

*To adopt a horse from the MSSPA, you must be 18 or older.

Rider Weight

Rider Height

Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Mailing Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone*

Primary Email Address*

How did you hear about the MSSPA's adoption program?

Please list the equine(s) you are interested in adopting.*

Do you currently own equine(s)?*

Yes
No

What types of animals will be housed on the property with the equine(s) you wish to adopt?*

Where will the equine(s) be housed?*

At home
Boarding facility (please provide facility info below)

Boarding Facility Name*

Boarding Facility Owner's Name*

First Last

Boarding Facility Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Boarding Facility Phone*

Boarding Facility Email*

What is your water source? How do you keep the water from freezing in the winter?*

What type of shelter do you have? Please provide details.*

How much turnout/paddock space will the equine have? Will the equine have access to grass or a dry lot?*

What type of fencing is used? (NO BARBED WIRE)*

What is the intended use of said equine(s)? Do you have plans/goals you would like to achieve?*

Please describe your knowledge of and experience with caring for an equine.*

Do you have the financial capacity to care for an animal that costs a minimum of $3,000 - $6,000 per year to provide hay, grain, supplements/medications, veterinary and farrier care whenever needed?*

Yes
No

Equine Providers and References

Veterinarian Name*

Current equine veterinarian (can be a small animal vet if first time equine owner)

First Last

Veterinarian Phone*

Farrier Name*

Current farrier

First Last

Farrier Phone*

Reference #1*

A personal reference that is not related to you.

First Last

Reference #1 Phone*

Reference #2*

A personal reference that is not related to you.

First Last

Reference #2 Phone*

Consent*

By checking this box, you are giving the MSSPA permission to speak to your references and are letting your providers know they will be contacted by the MSSPA.

Upload photos of your barn, stable, feed room, etc.

If you are having any difficulty uploading photos, please email them to [email protected] or call 207-892-3040 for more upload options.

File

Max. file size: 75 MB.

File

Max. file size: 75 MB.

File

Max. file size: 75 MB.

File

Max. file size: 75 MB.

MSSPA