This form is used in the Equine Rescue Network’s Micro Rescue Program’s application and approval process. Forms will be saved as records. The vet used as a reference on the adopters application will be required to fill out the application. It is also acceptable for the office manager to fill in basic information. Questions should be answered to the best of the vets knowledge.

------ Veterinarian Reference ------

Please provide your signature below: *

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.


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.
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