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Horse/Livestock Adoption Questionnaire

Welcome to Noah’s Ark Society’s adoption program. We request the following information so that we can assist you in the selection of a new horse or livestock. This form and a consultation with a Noah’s Ark Society representative are designed to help you find the horse/livestock most compatible with your lifestyle.

To be considered for adoption, you must:

- Be 21 years of age or older

- Have identification showing your present address

- Have the knowledge and consent of your landlord and/or your Home Owner’s Association (if applicable)

- Be able and willing to spend the time and money necessary to provide medical treatment and proper care of the horse/livestock

Completion of this application does not guarantee adoption of a Noah’s Ark Society horse/livestock. Thank you!

Tennessee Law, code 44-20-101-105 states that “an equine sponsor or equine professional, or any other person, including corporations and partnerships, are immune from liability for the death or injury of a participant, which resulted from the inherent risks of equine activities.” Completion of this form electronically indicates that you have read and understand this law and that you release Noah’s Ark Society, its foster farm owners, and volunteers from any liability for any injury or accident (up to and including death) to you or your family members, resulting from your interaction with a Noah’s Ark Society equine or equine facility before or after adoption.

Date *

// (mm/dd/yyyy)

First Name *

Last Name *

Street Address *

Suite / Apt #

City *

State *

Zip *

Email *

Phone *

Please describe IN DETAIL the pet you are looking for:

Are all of these pets spayed, neutered, or gelded?:

Yes
No
I don't have any pets

Are they current on vaccinations?:

Yes
No
I don't have any pets

If you have current pets, how will they adjust to a new addition?:

Please list the number of adults in the family and the number and ages of the children in the household:

Does any member of your household have pet allergies? If YES, please explain:

Where do you live?:

House
Apartment
Condo
Mobile Home
Other

Do you own or rent your home?:

Own
Rent

What arrangements will you make for the care of your pets in case of an emergency, or if you become unable to care for him/her/them?:

Is there a specific animal you are interested in adopting from us?:

Yes
No

If YES, please indicate the animal's name and type, and tell us why this particular animal. If NO, please tell us if there is anything specific you are looking for.

Is this your first equine?:

If YES, would you be willing to attend a basic horsemanship class with your family that is sponsored by Noah's Ark Society?:

Did you know that horses are companion animals, and should not be isolated in a pasture? If this is your first horse, are you willing to adopt a second, a mini horse, donkey, or mule to be a companion? If so, what type of companion equine do you prefer?:

Will you hire a trainer for this horse, or train it yourself? Please explain the method of training you will use:

What is your intent for the equine you wish to adopt?:

Trail Riding
Western Pleasure
Dressage
Hunter/Jumper
Other Competitive Sports
Pet
Therapy
Driving
Companion for Another Horse
Other

If OTHER, please explain:

Please describe your level of equine experience to the best of your ability using one of the following:

NOVICE: Have only ridden at a trail ride facility, or never ridden.
BEGINNER: Have ridden casually, and potentially taken some lessons, feel comfortable on horseback at walk and trot.
INTERMEDIATE: Know how to communicate through body and reins, comfortable in varying situations with the horse, know how to do some training.
ADVANCED: Comfortable at all gaits, in diverse situations, can manage stress level of horse, and be a good horse leader, comfortable with training in both ground work and from horse back.
EXPERT: Able to work with a vast array of horses with challenging demeanor's and train others.

Who is your farrier? Please provide their name and phone number:

Do you own the property where your horse will be living? If NO, please provide the name, phone number, and email address for the property owner or manager:

If the horse will be living at an address different from your home address listed above, please enter the complete address for where the horse will live, here:

Are you zoned for farm animals where you live?:

Yes
No

What is the dimension of the pasture where the horse will be living?:

Does your pasture have a shelter?:

Yes
No

If YES, what are the dimensions of the shelter?:

If you’re considering a boarding situation, please list the name, website address, physical address and phone number of the facility:

What type of fencing does the facility have?:

If the equine is to be boarded, does the facility offer pasture board?:

Yes
No

What are the facility's pasture dimensions?:

Does the boarding facility's pasture have a shelter?

Yes
No

Are you aware that horses can live to be up to 40 years old? Are you prepared to commit to the care and wellbeing of this horse for the remainder of its life?:

Yes
No

Additional questions/comments:

I understand that the standard horse/livestock adoption fee is dependent on what type of breeds Noah's Ark Society has available. *

Yes
No

I certify that the above information is true. I also understand that giving false information on this application is grounds for denying an adoption. *

Yes

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Horse/Livestock Adoption Questionnaire