Download printable Pre-Foster/Adoption Evaluation Inspection Form here.
The following information is strictly confidential and is not for discussion, re-transmission or release without prior permission from an officer of BEHS.
E-mail completed worksheet and photos to: records@bluebonnetequine.org
Or mail to: P.O. Box 632, College Station, TX 77841.
A. FOSTER/ADOPTER INFORMATION
NAME:
ADDRESS:
CITY, STATE, ZIP:
HOME PHONE:
ALTERNATE PHONE:
EMAIL ADDRESS
B. INSPECTOR INFORMATION
INSPECTOR NAME:
ADDRESS:
CITY, STATE, ZIP:
HOME PHONE:
ALTERNATE PHONE:
EMAIL ADDRESS
INSPECTION DATE _______________
C. PHOTOGRAPHS REQUIRED
The photographs listed below are required for a home to be evaluated by the adoption and/or fostering committee. Upon receipt of this completed worksheet and photographs, the potential foster/adoptive home will be notified of their approval status. Photographs may be mailed to the address listed or emailed (please reduce pixel size) to baxtermattie@aol.com.
Barns/Stalls (inside and out) Entrance
Fencing Feed and Feed Storage
Other Equines Shelter in pasture (trees, run in shed, etc.)
Water source (stock tank, trough, etc.) Cattle Guards (if applicable)
D. INSPECTION INFORMATION NEEDED
1. Property Location
Will the equines be kept at a location different than the foster/adoptive address? Yes/No
* If yes to either question above please complete the following information, if no skip to Fencing.
NAME:
ADDRESS:
CITY, STATE, ZIP
HOME PHONE: ALTERNATE PHONE:
2. Fence Information
List type of fencing that surrounds the pasture:
How High is the fence?
Is the fence in good repair? Yes/No
If no, explain:
Is there Barbed Wire? Yes/No
If there is Barbed Wire, how much is covered in Barbed Wire?
Are there T-Posts? Yes/No
Are T-Posts capped? Yes/No
If no, explain:
3. Pasture Information
Is there pasture or turnout? Yes How large? No Explain
Is this pasture safe? Yes No If No Explain
Is there any type of debris in or around pasture (metal, trash, etc) No Yes
If yes, list type of debris:
4. Shelter Information
Approximate size If manmade is it in good repair and safe Yes/No
If no, explain:
Is there a barn No Yes Approx size of stall: How many barn stalls?
What type of material is barn made from (wood, metal, other etc.)?
How often are equine(s) kept in barn?
Is there a fly control problem No/Yes/Explain
Do you believe this barn safe Yes/No/Explain
5. Food and Water
What type of feed is currently fed?
Amount daily?
What is the current feeding schedule?
If there are special dietary needs for the equine(s), can they be met? Yes/No
Is the feed clean and safe for equines? Explain.
How is feed stored?
Are equines fed separately or as a group?
If grained do they have their own feed bucket? Yes/No
What type of water source Is water source clean? Yes/No
Can it accommodate all equines? Yes/No
How often is water cleaned?
6. Other Pasture Information
Are there any Cattle Guards on the Property? Yes No
Are they separated from the pasture area by a gate? Yes No
7. Other Equines
How many equines are kept on the property?
If there are stallions on the property are they kept separate from the other horses? Yes/No
If no, please explain:
Please rate the overall care of the horses on the property:
Number of horses on the property: _______________
Number of horses living in the same pasture/paddock as the adopted/foster horse will live: _________
Overall health care: ___ Adequate ___ Needs Attention*
Overall hoof care: ___ Adequate ___ Needs Attention*
Horses kept in (circle all that apply): Stall paddock/turn-out shed pasture
Foster/Adopted horse will be kept in (circle all that apply): Stall paddock/turn-out shed pasture
Horses kept in (circle all that apply): Stall paddock/turn-out shed pasture
*If you marked overall health care or overall hoof care as “Needs Attention”, please explain:
Do you have any concern about the care, condition or housing of any of the horses on the property?
If yes, please explain:
* Please get close up photos of any horses whose condition you are concerned about.
8. Veterinary Information
NAME:
ADDRESS:
CITY, STATE, ZIP:
TELEPHONE NUMBER:
F. CONCERNS AND OPINIONS
After conducting the inspection, do you recommend this person as a foster/adoptive home?
Please give a brief explanation for your recommendation.
Please indicate any additional concerns or opinions you may have of this potential foster/adoptive home:
_________________________________________
Signature of Inspector
__________________
Date