Online Adoption Form

   Every equine has a different personality, traits and needs, so we carefully screen to make sure that the home they go to can meet their needs, will be a good personality match and has a high potential as a permanent home for the equine.

   Due to the large numbers of applications we receive, we are now holding your application on file (for six months,) and when you are seriously considering a particular equine or place an adoption hold on an equine, we will process your application.  This saves our staff a tremendous amount of time and effort, and is also more courteous for the professional (vet and farrier) references.  If you are interested in adopting a particular equine, please fill out this application and send us an email or call to let us know which equine you are interested in.  You are more than welcome to fill this out so it is on filed, however it will not be processed until you either have a $50 donation hold on an equine or you donate the $5 processing fee it costs us to have it processed.

Click Here to donate the processing fee with PayPal.
or
Place An Adoption Hold On Any Equine
Enter the equines name and/or NER #.

   *Your application will NOT be processed until we receive the processing fee or an Adoption Hold. If the processing fee or an adoption hold is not received we will put your application on file for 6 months, during that time if you place an adoption hold on an equine we will then process your application.  
     Your application will be kept on file for 6 months. We reserve the right to refuse adoption to a previously approved adopter if we feel the match is not in the best interest of either the equine or person or for any other reason without explanation.

All fields with * are REQUIRED or the form will not be processed.
 

Adoption Form * First Name: - * Last Name: *Mailing Address: * Street Address: * City: * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massechusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   - * Zip: *Phone:  *Cell: None-*Work: None * Email: Web Site:  *Age: Years *Gender: Female Male *Occupation: *Yearly Income: * How many adults in family?  * Do you have children? Yes No If children, please specify how many, genders and their ages: * Are you interested in an equine that we have up for adoption right now: Yes No If yes, what is the equine's name or NER # and why are you interested in this equine? * How many years have you been around equines? - 1 1-2 3-5 6-10 11+ *How do you ride? Western English Both Bareback All Of The Above I Do Not Ride *What rider level of a are you? Beginner Advanced Beginner Intermediate Experienced Very Experienced I Do Not Ride * Do you want a equine that can pull a cart? No Preference Yes That Would Be Nice I Only Want a Cart Equine Rides and Drives * Why do you want to adopt an equine? * How many Equines do you wish to adopt? 1 2 3 4 5 6 7 8 9 10+ * If the equine you are going to adopt has a best equine friend would you adopt them both? * How long are you planning to keeping the adopted equine? - 1 year 1-2 years 3-5 years 6-13 years 14-21 years 22-30 years Forever * Would this be your first equine?  Yes No * If no, do you currently have any other equines now?  Yes No If yes, please specify how many, breeds, genders and their ages: * How many equines have you owned in the last 5 years? * What happened to the other equine(s)? * Do you have any dogs, cats, other pets or livestock? Yes No If yes, please list them here: * Are all your male equines gelded? Yes No I do not have a male equine If no, please explain why not: * Are you going to be the sole caregiver for the adopted equine?  Yes No If no, who will be helping you? * What is your price range you are willing pay for a rescued equine? $100 $200 $300 $400 $500 $600 $700 $800 $900 $1000 Any Price * Which type of equines are you interested in? Horses Ponies Mules Donkeys Any * What gender of equine do you want? Any Gender Mare Stallion Gelding Any but stallion * What age of equine will you accept? Any Age 0-3 4-10 11-15 16-20 20-26 27 + * What is height of an equine do you prefer? Any 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Hands A hand is 4 inches, typical riding horse is between 14 and 16 hands. * What training level of equine are you looking for? Any Wild Unbroke Green Broke Started Under Saddle Needs Some Hours On The Trail Trained To Ride Well Trained Kid Safe * Would you adopt an equine with lameness? No Yes * Would you adopt an equine with blindness? Yes No One Eye Blind Some blindless is ok * Would you adopt a pasture pal (non-rideable) equine? Yes No * Would you adopt an equine with special needs? Yes No * Will the equine be kept at your home?  Yes No If you are planning on keeping your equine at home please continue. If you are not planning to keep your equine at home, skip to Boarding Stable or Other. * Do you rent your land? Yes ------ No * If yes, has your landlord given you the "Ok" to keep equines on the land? Yes -------------------- I need to ask No * How many acres of land do you rent/own? What types of fencing do you have on your land?  Pen Info * What size? * What is it fenced with? * Is there trees? Yes ------ No * Is there a creek/pond? Yes ------ No * Is there a storm shed? Yes ------ No * Is it rocky?  Yes ------ No * How tall is the fence? * How old is the fence? * Will the equine have pasture? Yes ------ No If Yes * How any acres? * What is fenced with? * Is there trees? Yes ------ No * Is there creek/pond? Yes ------ No * Is there a storm shed? Yes ------ No  * Is it rocky?  Yes ------ No * How tall is the fence?  * How old is the fence? * Do you have a barn? Yes ------ No * If yes, what size of barn, how many stalls, size of stalls and size of room for hay and feed. Boarding Stable or Other If your equine will be living at your home, please skip to Personal References. * Will the equine be kept at a boarding stable? Yes ------ No If no, please explain where the equine will be kept: Info on boarding stable the equine will be kept or other person. * Business Name: * Contact Name: * Mailing Address: * Street Address: * City: * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massechusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip: * Phone #:  * Cell #:  / None * Work #:   /  None * Email: * Please explain why you decided to keep your equine at the above place: Personal References    Please notify your personal references that they will be getting a call from Kelly.  If they get a message, please have them return the call as soon as they can as you will not be approved for adoption until we can talk to your references. * First Reference * Name: * Phone #: * Email: * How Many Years Acquainted? * Second Reference * Name: * Phone #: * Email: * How Many Years Acquainted? Vet and Farrier References    Please list the veterinarian that you most recently used for treatment of any of your animals.  We are wanting to talk to a vet and farrier that has done work for you, if you do not have a vet or farrier, please add 2 additional personal references in the Additional Comments below. * Veterinarian Info * Business Name: * Phone #: Address:  * City:  * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massechusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   Zip: *Farrier Info * Name: * Phone #: Address:  * City:  * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massechusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   Zip: * Will you provide healthcare in a timely manner? Yes No * Will you return your equine to NER if you can no longer care for it or if you unable to find a loving home for it? Yes No * Will you allow a NER representative to visit your home? Yes No Additional Comments: Please tell us what you are looking for in an equine and any other information you feel would be important for us. * Would you like to receive NER E-News and be updated whenever we rescues an equine, a sponsored equine becomes available for adoption, or emergency needs? Yes No * How did you find out about NER? Horse Web Site Banner Ad Classified Ad Rescue Links Friend Google Yahoo TV Other If Other, please explain how you heard about us: Please Read:               Your application will be kept on file for 6 months.  We reserve the right to refuse adoption to a previously approved adopter if we feel the match is not in the best interest of either the equine or person or for any other reason without explanation. Your application will NOT be processed until we receive the processing fee or an Adoption Hold. * Electronic Signature Your electronic signature below serves as acknowledgement that this is a sincere inquiry, and that all information provided is true, correct and complete.  On the Internet an Electronic Signature carries the same legal weight as if you were signing your name to a printed document. To complete this form, please provide your electronic signature below by typing your full name in the box, then submit the form. X: Please re-read through your application to ensure it is as accurate as possible before submitting. Please only send the form ONCE! Thank you!