Applicant/Potential Owner's Birthdate * MM 1 2 3 4 5 6 7 8 9 10 11 12 / DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YYYY 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Phone Email * My first choice animal to adopt is a * horse donkey chicken goat pig other I want to adopt for: * Myself Someone Else About My Farm or Boarding Facility The property where this animal will live, further described below is: * Owned by me, and I live there Owned by me, but not where I live A boarding facility A property I rent/lease, and live at A property I rent/lease, and do not live at A friend's property A family member's property How many acres of pasture will this animal have access to? * Less than one One to four Five to Ten Ten to fifteen Fifteen to twenty Twenty one to fifty Fifty plus What other types of animals will share this pasture? * What type of fence does this pasture have? (check all that apply) What I'm Looking For, And My Adoption Ideas Please review the animals on our website and list up to 3 that you are interested in, OR describe in detail the personality traits, training level, and goals you have with your adopted animal. Please note we ALWAYS have animals in our care that are not on the website, so if you don't see an animal that is a perfect match, your description will help our adoption team match you to an appropriate fit. If you are interested in a foster that you have seen on our website or social media, please write their name in this box, along with a description of what you feel will best describe your ideal adoptive fit. * If your first choice animal is not available, please mark what categories you would like to limit your search to: * What best describes your upcoming relationship with your new friend? * I'll give my horse feed: * Once per day Twice per day If he or she seems to be losing weight I only plan on providing hay. I plan to feed my horse * grass and hay only grass, hay and all stock/sweet feed grass, hay and horse feed that is developed to match my horse's age/metabolism, and activity level He or she will eat In stall In pasture On a lead line Tied outside of pasture In a round pen or other separate enclosure My Support Team
Important: To help speed up your adoption application, please let your support team know that you have applied to adopt, an that you authorize them to release information to us. We will call your vet and farrier for references when we process your application.
His/Her Phone # is: * My relationship with my support team is best described as: * I'm a new owner. I just found these people and plan to use them. I'm a current owner of the species I wish to adopt, and my support team knows me well. I'm a current owner of a different species, and my support team knows me well. I own animals, but I only use my vet and/or farrier when I have to, so they don't know me well at all. I own animals, but have never used the vet and farrier on this application. It's been a year or two since I've owned animals, so I'm hoping they remember who I am. I believe my animals should see the vet * Regularly so we have a relationship, and they know what is normal or abnormal for my pet. Regularly, and beyond building the relationship, I believe in routine chiropractic or other treatments to enhance quality of life. Annually for shots and a health exam or coggins Only when something seems wrong to me. I know my pet best, and can tell my vet what is normal or abnormal. Only in case of emergency. Let's talk trainers.....will you use a trainer or train your adopted animal yourself? * Your Current Herd What animals have you had in the past? *
Please only list animals you had personal responsibility for day to day care for as an adult. If none, just write none.
Which of these do you still have? *
If none, write none. For those you still have please include species, age, gender, and whether pet lives indoors or outdoors.
If applicable, please describe the circumstances surrounding any animals you have sold turned in to a shelter or rescue, or given away. *
If you have never sold or given away an animal just write N/A.
If you currently own animals, are they all current on vaccinations? * Yes No I have consciously decided not to vaccinate for health reasons I do not currently own animals Are all of your male pets neutered/castrated or female pets spayed if it is species appropriate? * Yes No I don't currently own animals Have you ever bred any of your animals? * Yes No I've never owned animals before. If you adopt a female horse, pony or other livestock animal from us, do you want her to have babies? * Yes No I haven't considered it, but maybe. Only if I adopt a registered animal. Almost Done - Just a Little Housekeeping Are you prepared to care for your adopted animal for the remainder of its life? Please note that some animals such as horses and ponies can live to be over 40 years old. * Yes No Do you understand that an adoption from Safe Harbor is a "Lifelong" adoption? This means that you must notify the rescue if you are ever unable to care for an animal you adopt, and a home transfer contract must be signed if your adopted animal is ever rehomed. Safe Harbor acts as a safety net for ALL animals cared for and adopted out by the rescue for life. If you are approved to adopt, you will be required to sign an adoption contract complying with this notice provision. * Yes No I think I agree, but I am applying with the intent to train and rehome, and I need this explained to me fully. Write your full name below as a digital signature acknowledging the following: 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." You have read and understand the law, and release Safe Harbor its foster farm owners, and volunteers from any liability for any injury or accident (up to and includng death) to you or your family members and/or guests, resulting from your interaction with a Safe Harbor equine or equine facility before or after adoption. Your further take responsibility and assume all liability for any family members, trainers, or guests that you choose to bring to a Safe Harbor foster farm or facility at any point during or after the adoption process. * Please write your full name and today's date below to acknowledge and agree to the following consent: Safe Harbor Equine and Livestock Sanctuary or their authorized representative may contact my veterinarian and/or farrier to complete a reference check. My Veterinarian is authorized to release any information requested about the care and treatment of my animals including vet records if needed. * How did you learn about Safe Harbor? You made it to the last question! Do you have any questions or comments for us?