ADOPTION & FOSTERING APPLICATION

Are you over the age of 18 yesno

I am applying to AdoptFasterBoth

EQUINE INFORMATION

All feild must be comleted

FACILITY INFORMATION

FENCE INFORMATION

PASTURE INFORMATION

SHELTER INFORMATION

TYPE(S) OF EQUINE PREFERED

(Adoption only)
Which equine(s) are you interested in? List your first 3 choices.

FOSTER HOMES ONLY

The following questions will help determine what type of equine you would prefer to foster. please complete the following information. Feel free to put any concern or stipulation you have.

Please mark next to each of the following you would be willing to foster

Horse YesNo

Pony YesNo

Mule YesNo

Donkey YesNo

Miniature (Horse or Donkey) YesNo

Zebra-horse / Donkey hybrid YesNo

How many foster could you hold on a:

Would you be willing to foster an equine with the following conditions? Please list any concerns you may have below.

Seized by law of enforcement while awaiting a hearing (owner could be awarded the animal back by a judge YesNo

An equine that BEHS has no background information on? This happens frequently with seized or abandoned horses. YesNo

A horse with training issues (if yes, please list your experience below) YesNo

A horse with health issues? YesNo

An older Horse YesNo

A Horse that is to young to ride YesNo

A stallion or newly gelded animal yesNo

An equine that can not be ridden for any reason YesNo

A mare that is foal (if yes, please indicate foaling experience YesNo

An equine with serious hoof problems such as founder (if yes please indicate your experience with treatment) YesNo

EXPERIENCE

All fields must be completed if non applicable enter n/a

Please tell us about horses you currently own or have owned in the past ( such as what types of equine , how long you owned them , why you no longer owned them, what you do did them etc..

Please describe what experience you have handling, caring, riding and training equine

EQUINE CARE

All fields must be completed

REFERENCE INFORMATION

The required references are: Veterinarian, Equine professional (this may be a trainer, farrier etc..) and personal (no relation). These must be three separate people . Please let your references know that he will calling them to ask them a few questions.

Please complete the following information: This is vet or who will become your veterinarian.

REQUIRED PHOTOS

The photographs listed below are required for a home to be evaluated by the adoption and/or fostering coordinator. If you do not submit all of the below photos or if the adoption or fostering coordinator has any questions or concerns, we will schedule an in person pre-adoption/pre-foster home visit.

Photographs may be mailed to the address listed or emailed (please reduce pixel size) to: applications©bluebonnetequine.org.

• Barn (outside and inside)
• Stalls (outside and inside)

• Property entrance
• Water source

• Fencing (at least three photos - fencing type and fence posts most be visible)
• Shelter (manmade or natural)

• Feed and feed storage
• Other equines on the property

• Cattle guards (if there are any on the property)

I the undersigned understand I am applying to adopt and/or foster equines from Bluebonnet Equine Humane Society. I also un-derstand that I must complete the application process and my home (or boarding facility) must be approved before being allowed to adopt and/or foster any equine from Bluebonnet Equine Humane Society. I understand that I may not be able to adopt and/or foster the equine I want for various reasons.

I agree and understand that Bluebonnet Equine Humane Society reserves the right to request a background check, including criminal records to verify personal information.

By signing this adoption/ foster home application, I agree that I have read and understand the adoption and/or fostering policies of Bluebonnet Equine Humane Society. I agree that I will submit a completed adoption or fostering application and must have ap-proval from an officer of BEHS before I am allowed to adopt or foster an equine.

lf fostering for BEHS I also understand that I am responsible for daily care of the equine(s) I foster, including (but not limited to) cost of grain, hay, shavings (if needed), and other costs incurred in routine care of the equine. Bluebonnet Equine Humane Society, Inc. will be responsible for vet care of the equine(s) in accordance with the Veterinary Procedures Policy unless injury to the equine is caused by my neglect or actions. BEHS will also be responsible for reimbursing for paste de-wormers and hoof trimming. BEHS will reimburse for corrective farrier work, supplements, and/or medications if pre-approved by the Foster Home Coordinator. BEHS will also pay a stipend of $20/month to be used to help (but not entirely cover) the cost of hay and grain for the equine.

If adopting from BEHS I agree that I will never sell, give away, lease out, send to slaughter or otherwise remove any equine I have adopted. If at any time I am unable to take care of an adopted equine, I will return the equine to BEHS immediately. If the adopt-ed equine dies, I will contact BEHS to notify them of the event and reasons. I also understand that I may never use any adopted equine for breeding purposes for any reason.

By signing this application, I agree not to hold Bluebonnet Equine Humane Society liable in the event of injury, death, or damage to any human, animal or property as a result of activities or actions of the equine I adopt or foster.

In addition, I, the undersigned, have read and understand the following warning:

WARNING
under texas law (chapter 87, civil practice and remedies code), an equine professional is not liable for an injury to or the death of a earti leant in e uine activities resultin. from the inherent risks of e uine activities

MEMBERSHIP INFORMATION

All adoptive/foster homes must be a member of Bluebonnet Equine Humane Society.
If you are already a member, please check here and skip to next section.

Already a member Membership date

IF YOU ARE NOT A MEMBER OF BEHS, PLEASE COMPLETE THE FOLLOWING

BEHS is a S01(c)(3) non-profit organization. All contributions are fully tax deductible to the extent allowed by law. Please make check payable to Bluebonnet Equine Humane Society, Inc. and return to the above address. Your cancelled check is your receipt.

TYPE OF MEMBERSHIP

If you are interested in volunteering or would like further information concerning any area of ntere,, please check which areas you are interested in Nma.,0111051011 3dd Mona! information will be sent to you.

FosteringTraileringFundraisingother

CONFIDENTIALITY STATEMENT

Bluebonnet Equine Humane Society may be confidential and I will use discretion discussing BEHS policies, procedure, cases and other business with anyone that Is not a member of BEHS. I also understand that as pa, of my membership, it is a privilege not a right to join certain email lists. No email message will be forwarded to or discussed with anyone not being a member of the same lists without receiving permission from an officer of BEHS. I have read, understand, and agree to abide to this statement outlined herein.

I agree