Burttschell Rescue Ranch Horse Adoption Application

Please put NA in any field that doesn't apply to you, all fields are required and must be filled out in order for the application to submit.

Property Address & how long at this property:
Which horse are you interested in adopting?
Daytime Phone:
Contact Information
Full Name
Evening Phone:
Best time to call:
Email address:
Please describe your property (how many acres, stables, barn ect ...)
Please send me a few photos of your property, stables, barn, fenced areas ect ...
You can send up to 5 photos jpgs, pdfs, bmps, docs, docx or zip files are acceptable.

Attach Files
Are you be willing to let a representative of BRR visit your property by appointment?

Are you be willing to let a representative of BRR visit your property by appointment? yes no
Have you ever owned horses?
Do you have horses now?
Veterinarian Information
(Providing BRR with this information you are allowing BRR to call your vet. Please call your vet and ask them to authorize the release of information to BRR.)
Do you have a regular horse vet?
Veterinarian’s name:
Vet's Phone number:
All of the information I have given is true and complete. This horse will reside at my property. I will provide it with quality food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Horse Veterinarian.

I will call you with any additional questions I may have.
Please sign in the box:
I understand this is a legal representation of my signature.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Partner/Spouse please sign below if applicable:
I understand this is a legal representation of my signature.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Burttschell Rescue Ranch Horse Adoption Application

Burttschell Rescue Ranch Horse Adoption Application

Contact Information

Veterinarian Information (Providing BRR with this information you are allowing BRR to call your vet. Please call your vet and ask them to authorize the release of information to BRR.)

Veterinarian Information
(Providing BRR with this information you are allowing BRR to call your vet. Please call your vet and ask them to authorize the release of information to BRR.)