HOPEFUL HAVEN EQUINE RESCUE ORGANIZATION, INC.
12193 Providence Rd
Shreveport, LA 71138

Foster Agreement

FOSTER HOME REQUIREMENT APPLICATION

Please read and print the "Foster Home Requirement Application" below. Return to us upon completion. We will keep your application on file and contact you when a horse becomes available. You are under no obligation when returning this form. This form is merely a statement that you have the facilities, the time, the desire and the knowledge to care for a fostered horse(s).

Foster Home Requirement Application

Names of person(s) to be responsible for fostered equine: ____________________________________________________________________________________________________________________

Do you have Children:? If so what are their ages? ____________________________________________________________________________________________________________________

Address of person(s) requesting to foster equine: ____________________________________________________________________________________________________________________

Home Telephone Number: ________________________________________________________________

Work Telephone Number(s): _______________________________________________________________

Cell Phone Number: _________________________________________________________________

Emergency Telephone Number(s): _____________________________________________________________

Address of location of requested fostered equine: ____________________________________________________________________________________________________________________

Please describe in detail the facility where the horse will be
kept such as fencing, stalls, corrals, size of turn out area, etc. ____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

How much pasture do you currently have available: ________________________________________

How many Foster Horses would you be willing to care for at one time:_______________________
(we require 1 acre minimum per horse)

When will you be available to feed? (Once, twice- am/pm) ____________________________________________________________________________________________________________________

When will you be available to groom? (daily, weekly) ____________________________________________________________________________________________________________________

Will the horse have free access to water:? ____________________________________________________________________________________________________________________

Will the horse have free access to shelter from the elements:? ____________________________________________________________________________________________________________________

How many horses do you have now? ______________________________________________________________________________________

Do your own horses have updated coggins and vaccinations?__________________
(copy of up to date documents will need to be provided)

How long have you had them? ________________________________________________________________

Will there be children involved in the care of the horse(s)? ___________________________________________

Have you ever cared for a colicked, Lame, foundered or Injured horse? _____________________

Do you know the clinical signs and/or emergency response to the above conditions? ______________________

Current Vet:

Name:____________________________________ Phone:_________________________

Current Farrier:

Name:____________________________________ Phone:_________________________

Personal References:

Name:____________________________________ Phone:_________________________

Name:____________________________________ Phone:_________________________

Name:____________________________________ Phone:_________________________

By signing this application you understand that a pre-inspection of your property will be done before placement of Fostered Equine into your care. Also a Foster Agreement will be completed as well at the time of placement for each horse placed into your care describing feeding times and amounts, special instructions etc.

Foster Applicant Signature:______________________________

Date Application Signed:______________________________

(If emailing to us just type in your name)

<< OR IF YOU LIKE YOU MAY COPY AND PASTE INTO YOUR WORD PROCESSING PROGRAM THEN EMAIL THIS APPLICATION TO:Hopefulhaven@yahoo.com

---------------------DO NOT WRITE BELOW THIIS LINE----------------

Date Recieved:________ References checked:________ by:_______
Pre-Inspection approved:__________ By:_______
Foster Agreement Completed:___________ Copied and mailed:_______ by:_______
Pre-Inspection disapproved:________
Reason:________________________________________________________
_____________________________________________________________
_____________________________________________________________

Representative of Organization:_________________________________
Date:___________________
------------------------------------------------------------------

Thank you for your continued support...

1 1