De of S\ ea of Taek x eu i i ot ely ao) ek isoat Low s Leo mM oo) me ated ef wove \ereses So much - howe een LGQIMA_—“yeinphs tom Bie GET wn atse oO es & Way ae yac® Way ~ Soren Se ow | —_— les. | sis Said “nd Xo eee a wi decided ‘a Khe marrecsS into My own re as ee TY Geta) Wasik yesy hig\n ine am ol 30\n ro Sa en Awe Cok. plente do wot Vas my Ae ication \S — please ce \we WoryEven if cc Denke get a \ecser could eg gv me edbacls_on_ -agel rcakion. L feel \n my. "Weak Moe Wen se “Aot Xs year, Swen one year, © w\ provide e CSE] \WG om & Soc a! horse’ Hegnue 5. Leoae Bolus ackDORIS DAY HORSE RES a ee ADOPTION APPLICATION and Adoption Center The Doris Day Horse Rescue and Adoption Center (Owned and operated by The Humane Society of the United States Crees mes P.O, Box 367, 12250 CR 3806, Murchison, TX 75778 humanesociety.ora | fundforanimals.ora | dorisdav.org Adopter's Full Name ui Se Tone BR. > b, n Address: jen 68a Phon A23$6Q 05 \6 Cell phone: Email address: Y Oo 00 6 Date of birth: v Single? _V Married? ___ Children (ifyes, provide ages)?__ Do the children tive with you? Yes__ No ~/ Wi otisipe orale doyouleer ca Syaall dao Current employer: TW own ww 3S eee wd ytade Address of employer How long have you been employed there? Do you andlor your household make more than $25,000 per year? Yes__ No_—/ How long have you lived at your current address? Woo, CS Will the horse be kept at your residence? Yes. x No. v tyes, now many other norees are onthe property? _O How many fenced acres? Describe the facilities including the type of fencing, barn or shelter; Please include size of stall andlor shelter, and typical living arrangements (if horses predominantly live in or out, etc. Ifthe horse will be boarded, please name facility. Boarding facility address: Boarding facility phone number: Describe (type of facility, fencing, stall size and cost of board):HORSE EXPERIENCE Have you owned a horse before? Yes__ No_\/ Please describe your experience: No Do you currently own a horse(s)? Ye It yes, please describe: you rie, what aecipting do you participate In (ype of foe pleasure, recreational riding, etc): o\c a ‘oe’ yor’ How long have you been riding? Do you havea trainer or instructor? If yes, ploase name: Do you have a horse you are interested in? Yes_ No_v/ It yes, please provide nam If no, please provide the following: Breed preference: _ heli. a VV Height range: Sex Preference: Gelding Mare_/ Prefered age of hose mall and you, Stage 1 (Red Horse) ~ A horse that has completed Stage 1. has basic ground skils such as catching, leading, and hhaltering, loading in trailer, farrier and vet prep, and knows the 7 games Yes___ No Stage 2 (Blue Horse) ~ A horse that has completed stage 2, has all Stage 1 skis, in afters to basic riding skills such as guiding easily at a walk and trot, stops, and backs up, starting cantor Yes_~/_ Stage 3 (Green Horse) ~ A horse that has completed stage 3, has all Stage 2 skils, in addition to guiding easily at @ cantor, accepts the bit, executes simple lead changes, is beginning to work with a bridle Yes___ No Stage 4 (Black Horse}- A horse that has completed stage 4, has all the Stage 3 skils, in addition to confidently accepting the bit for vertical and lateral collection. A stage 4 horse may have some specialization and/or performance training Yes__ No Stage 5 (Professionals Only) ~ A particularly high spirited horse andior one that has challenging behavioral issues such as rearing, biting, stking Yes No. What is your intended use of the equine? / Pasture pet/companion animal: Provide specific show diecipine or any additional detais;_witly pact, ec yen cy Will anyone other than yourself be riding the horse? 4 6. ‘Showing: Trail oo ahd LoveWho wil care forthe horse while you are away? _T'\\ ido e, ‘ | Veterinarian’s name:__C.e cheut Egume procter 52 Contact information: Maui iit XK Jewkoysn, cr nod to CLOW AG-5 Famer: “yo gn IDOL Have you ever been charged with animal cruelty or domestic violence? Yes___ No_V_ Please list three references, other than family members, Please provide names, addresses and telephone ‘numbers and relationship: Wes Geng goa -31]- Taso + understand hate 850 appcaton ei nonfundable even fam not approved for adoption. V “Ihave read and agree with the terms and conditions outlined in the DDHRAC Adoption Agreement. J “erty tata information | provided cn he appcton a bus and accurate othe bestot my tnowtege. Signature Printname WC Bh wore kk, pate Q*D 15Describe facilities, including the type of fencing, barn or shelter. The fencing is comprised of a stone wall about two feet high and an evergreen hedge (comprised of “spike” trees, holly trees, and Norway spruce trees). I will not let the horse g0 by the holly trees. Our yard is not completely enclosed by the stone wall or the evergreen hedge. ‘The shelter is the top floor of a three-bay garage. I will clean it out very well before the horse gets here.