WILLOW SPRING HORSE RESCUE APPLICATION
Terry, Candy and Jonathan Smith
479 E. Cherry Rd.
Quakertown, PA 18951
(215) 538-2179
Name _______________________________________________________________________
Address _____________________________________________________________________
Phone # _____________________________________________________________________
Is your property a farm or a single family home? ___________
Total size of your property in acres? _____________________
How much land will be devoted to the horse? ______________
Number of horses (if any) on your property? Breed and Genders?________________________
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What will the horse's diet consist of while in your care? ________________________________
_____________________________________________________________________________
Do you have any background in horse training or riding? Explain. ________________________
_____________________________________________________________________________
_____________________________________________________________________________
Horses you've owned in the past, how old were they when they left you and why? ___________
_____________________________________________________________________________
Treating Vet's Signature _________________________________________________________
Vet's Name ___________________________________________________________________
Vet's Address _________________________________________________________________
Vet's Phone # _________________________________________________________________
Vet's Email ___________________________________________________________________