Horse Information Form

Please complete this form for each equine adopted from the Equine Rescue Network.

------ Your Information ------

Owner Name: *

Phone #: *

Address: *

Email Address: *

------ Equine Information ------

Horse Name or Tag #: *

Please describe the horse/donkey/mule - include any identifying marks such as scars, brands, or unique markings. *

Adoption (Donation) Amount

Estimated Breed Type: *

Color: *

Size: *

Approx Age: *

Sex: *

Mare

Gelding

Stallion

Medical Information:

Long Term Plan:

Any additional information:

DISCLAIMER: Adopting a RESCUE from the Equine Rescue Network is a shared experience. We are not a traditional rescue and the experience you have will be different than purchasing an animal. These donkeys/horses/mules have been pulled from the slaughter pipeline. They are often terrified, undernourished and depressed. We pull them from the killpen and nurse them back to good physical health. However, it's a process that you should expect to be part of their full recovery. They may need time to build trust with you and other humans. You will need to be patient - 100% of all donkeys recover fully to good mental health within one month with proper attention and affection. Horses and mules, may take longer. These rescues have an unknown past and no medical history. ERN does our own quarantine and ensures that all rescues are healthy when they leave for their adoptive homes. If you want additional quarantine, we provide extra days free of charge. We will provide a coggins test. If you require any additional vet care - shots or health certificate (for those heading to homes out of state), we will suggest local veterinarians for you to contact. Finally, by adopting an animal from ERN, we expect you to be fully committed to continuing to provide excellent care. If your circumstances change and you are unable to provide a home for your animal, ERN will assist you in rehoming your equine. There is no guarantee that ERN will provide a safety net in the event that you change your mind. We have limited capacity for rescues and are at full capacity (especially in the winter months). We do our best with limited stall space and limited funds. Please confirm that you have read the above and AGREE: *

I agree

I disagree

Please Note: You may transfer ownership of the equine through a private transfer only. The equine may not be resold at any type of auction, horse broker, feedlot or slaughter destination. In the event the adopter fails to comply with the terms of this agreement, the Equine Rescue Network reserves the right to commence legal proceedings to recover the equine, and the adopter shall be liable for all costs and attorney’s fees in connection with such legal proceeding. Please confirm you agree to these terms: *

I agree

I disagree

Please provide your signature below: *

clear

------ Upload the Photos ------

Upload a photo of the horse/donkey/mule.

ERN is required by law to make sure equestians are aware of the dangers of horses! Please see warning below and visit MA Law Section 2D to learn more.

WARNING

Under Massachusetts law, an equine professional is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 2D of chapter 128 of the General Laws.

If this horse ever transfers ownership, please notify the ERN so we can update our records.