Adoption Application

Please complete all questions to the best of your ability. This record becomes a part of your contract. If this is your first horse or you need help finding a boarding facility, vet or farrier, please reach out to our adoption coordinator at adoptions@centralvahorserescue.com and we will be happy to assist you in your search.

I understand and give permission for all references to be contacted. Please inform references that a representative of the Adoption Team will be contacting them. You must be at least 18 years of age to complete this form. Applications will be processed after a scheduled meet and greet with the horse you are applying for at Central Virginia Horse Rescue.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Cell Phone*

*=required

Which Horseare you interested in

Describe where you plan to keep your horse.*

Tell us about the horses that you have owned over the last 5 years and where they are now.

Please list a reference (name, phone & email) who would be able to talk briefly about your care and experience with horses. *

Please list another reference's name and phone number*

Please list your third reference's name and phone number*

Please list the name and telephone number of the farrier that you currently or intend to use.*

Veterinarian's Name and Phone Number *

*=required