Please answer all questions before submitting.
Name of Horse*
Full Name of Applicant*
Cell Phone*
Home Phone*
Zip Code*
Photos or Video of your facility*
Anticipated Use of the Horse*
I certify that I am over 18 years old*Yes   
Name of Veterinarian*
Phone Number of Veterinarian*
Name of Farrier*
Phone Number of Farrier*
Describe Your Experience with Horses*
This Horse has Special Needs*Yes   No   
Special Needs Check All That apply*Special Diet   Must Work with a Trainer   Not Rideable   
Other Needs, Please Define*
Personal Reference 1*
Personal Reference 1 Phone Number *
Personal Reference 2*
Personal Reference 2 Phone Number*
Personal Reference 3*
Personal Reference 3 Phone Number*
I will not breed named horse.*Agree   
I agree to allow a representative of Iberian Horse Rescue to visit the facility where named horse will be housed.*Yes   
I agree and understand that there is no liability on behalf of Iberian Horse Rescue after I have accepted the named horse for adoption. *Yes   
I certify that I have not violated any law protecting animals, nor have I been convicted of inhumane treatment of animals.*Agree   
Email Address*
Required Signature*