Colorado Horse Rescue Adoption Application
10386 N. 65th Street, Longmont, CO 80503
Phone: (720) 494-1414 Fax: (720) 494-1415
Web Site: www.chr.org
If you would prefer to mail or fax the form, Click Here.
Please submit completed application and a $25.00 non-refundable application fee to CHR. We appreciate your interest in adopting a horse rescued by Colorado Horse Rescue. To ensure that each one of our horses finds a permanent and loving home, our application asks several detailed questions which are necessary for the screening process. All information will be kept completely confidential.
*Adoption application will be kept on file for 1 year from the application date.
Each individual horse has a set adoption fee. Adoption fees vary from $350.00 to $2,500.00.
*Name:
*Date:
*Street Address:
*City:
*State:
Zip Code
Home Phone:
Cell Phone:
*Email:
*Name of Horse (s) you are interested in adopting:
*Why do you wish to adopt this/these horses?
*When was the last time you rode a horse?
*Is this your first horse?
If no, when did you own a horse?
Were you the sole caretaker for the horse?
If no, who helped?
*What breed / size / gender of horse would you prefer?
Please note, often times CHR cannot confirm whether or not a horse is registered prior to adoption.
*What age of horse will you accept? (Older horses are recommended for beginner and some intermediate riders.)
Will you accept a horse with a limitation?
Lameness
None
Slight
Ridable w/ Special Care
Ridable w/ Significant Care
Behavioral
None
Slight
Needs Confident Handler
Needs Retraining
Blindness
None
One-Eyed or Partial Blindness
Any Blindness
Will you adopt a Companion (non-ridable) horse?
Yes
No
Who will be the primary handler/rider?
Name
Age
Height
Weight
Rider Experience Level
Beginner - Rider is new around horses, comfortable riding at a walk, still establishing balance and basic riding skills/aids*
Intermediate - Comfortable at all gaits on a loose rein, has a working knowledge of horse behavior, herd dynamics, and movement*
Advanced - Able to read suttle cues from the horse on the ground and under saddle, understands balance, impulsion, and feel as if it's second nature*
Trainer - Has an advanced skill set plus several years of successfully teaching multiple types of green horses*
*Please see the 'Rider and Handler Experience Criteria' form for further explanation of how CHR defines beginner, intermediate, etc.
Wanted Horse Level
Beginner - Horse is calm and gentle, beginner / child could handle
Intermediate - Horse can be reactive in rare instances, occasionally tests rider and/or acts up (i.e. bucking or spooking)
Advanced - Horse can be spooky and/or unconfident; may continually test rider, act up, or have special needs
Trainer Required: Horse is green or untrained/hot/very sensitive
Who?
Phone:
Note: CHR can provide horse trainer names and phone numbers.
What type of riding and activities do you plan to do with your adoptive horse? (check all that apply)
English
Western
Pleasure / Trail
Westernaires
Showing
Dressage
4-H
Roping / Barrels
Hunter / Jumper
Other ( Describe Below )
Other
Where will the horse be kept?
Home
Boarding Stable
Other ( Describe Below )
Other
Horse will be provided
Barn
Sheltered Stall
Pasture
Do you own or lease your property? (Please Choose One)
Own
Lease
Landlords contact information ( If applicable )
Name
Phone
Address
Email
*Average Annual Household Income:
$0 - 25,000
$25,000 - 50,000
$50,000 - 100,000
$100,000
How did you hear about CHR?
Please provide two (2) references, not related to you, that have information about your capability to care for an adopted horse.
Reference 1
Name
Phone
Address
Email
Reference 2
Name
Address
Phone
Email
Please provide the name of your current veterinarian and farrier:
Current Veterinarian
Vet's Full Name
Vet's Phone
Farrier's Full Name
Farrier's Phone
Have you had a horse in your care pass away in the past five years?
If so, how many and for what reason?
Have you ever sold a horse or farm animal through an auction?
Yes
No
If Yes, please explain
Have you ever surrendered an animal to a Humane Society, Rescue Organization, or Animal Control?
Yes
No
If Yes, please explain
Do you feel confident that you are able to financially provide for this horse for the rest of his/her life? (Horse ownership can exceed $400.00-$700.00 per month).
In the event this horse needs extensive medical care, are you willing to do whatever it takes to provide the best quality of life for him/her?
* I certify that I have no prior violations or convictions of inhumane treatment to animals. Please note: A pre-adoption visit will be scheduled prior to horse leaving CHR.
yes
no
By submitting this application, you certify that you are over the age of 21 and all information contained in this application is truthful to the best of your knowledge.
*Name:
*Date:
*CHR reserves the right to refuse adoption if CHR deems the horse and adopter are not a suitable match, and/or for any other reason as CHR sees important.
*Adoption application will be kept on file for 1 year from application date.
