Zig Bar B Ranch

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Date: * E-mail address: * Name(Last, First, Middle Initial) * Address: * City: * State: * Zip Code: * Home Phone: * Work Phone: * Cell Phone: Age: Note you must be 18 or older to adopt a horse from Zig Bar B Ranch. * 18-3031-4041-5051-6061-7070+ Marital Status * SingleMarriedDivorcedLiving with roommate(s)Living with partner Ages of other adults living in the household: 21-3031-4041-5051-6061-7070+ Do you have children: * YesNo What are their names and ages: Place of employment: Occupation: Spouse/Significant others place of employment: Spouse/significant others occupation: Do you rent or own your home? * RentOwn If renting does your landlord allow you to have horses? YesNo May we contact your landlord? YesNo If yes what is your landlords phone number If renting do you plan to board the horse at a facility? * YesNo If no, please explain: If boarding at facility enter the name and contact information for the facility? * May we contact the facility you intend on boarding the horse at? yesno How large is the turnout available at your home or the facility where you will be boarding? How high is the fence? If you don't have a pasture/turnout, what are your plans for exercise? If boarding what is their exercise options? How many hours a day are horses turned out? Do you plan to move within the next year? * YesNo Is this your first horse? * YesNo If yes, do you have an experienced horse person or persons available for assistance? yesno Do you currently have other pets (list all types) * YesNo If yes, list type, breed, sex, ages and whether spayed or neutered: Other than those listed above, have you owned any pets in the last 5 years? If so please list whether they were spayed/neutered and what happened to the pet: * How did you learn about Zig Bar B Ranch Rehabilitation Center? Is there a specific horse you are interested in? YesNo Is so please give name and description of horse: If there's no specific horse you're interested in, do you prefer a specific breed? YesNo If yes, list in order of preference: What is the gender of horse you prefer? * FillyColtMareGeldingStallionAged mareAged gelding Breed of horse prefered? APHAPintoQuarter horseThoroughbredGrade or unregisteredOther If other, please specify: What personality traits are you looking for in a horse? Do you have your own veterinarian? * YesNo If yes, please give name: Address: Phone number: May we contact him/her? Yes No If no, please explain: Do you currently own any other horses? * Please select... Yes No If yes, are they on a regular deworming and vaccination schedule? Please select... yes no If yes what brand? Will the adoptive horse be turned out with other horses or in private paddock? * Please select... Alone in private paddock With other horses Will the adoptive horse have free access to a stall or be turned in and out? Please select... Free access to stall and pasture Turned in and out How do you plan on introducing the adoptive horse to existing herd? If you travel, how will you care for your horse? What is the maximum amount of time you are willing to give the horse to adjust to you, your family and new environment? * Would you be willing to allow us to visit you and your new horse after adoption? * YesNo If no, please explain: For what reason, would you be willing to give up or get rid of a horse? * Would you like additional information on horse ownership, vaccines, other equine needs etc? YesNo Specify what type: Please provide references from three people who do not live with you, include their names and phone numbers with area code: Ref #1: * Ref #2: * Ref #3: * Any other pertinent info you would like to share? Each horses adoption fees vary due to the amount of care, training and other needs the animal has gone through, Is your adoption contingent upon the adoption fees? YesNo If yes, would you like information on adoption fees for a specific horse? Enter name of horse wanting to adopt: Have you or anyone in your household ever been charged with animal cruelty or neglect? * Please select... Yes No If yes, what was the case number and location of the charges? Why should we consider you for adoption? Need assistance with this form?
Save my progress and resume later | resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Yes! I am able to donate to The Zig Bar B Ranch Donations, please enter your desired level of committment. Platinum level $100.00 Gold level $75.00 Silver level $50.00 Other amount Please specify $ amount. Any type of donation is appreciated, if you would like to donate other goods and/or services just specify and our contract provider information will be forwarded to you. Please select... Veterinary care Feed Farrier Tack/Supplies About You Name: Email: Yes, I want to suscribe to the email newsletter If there is another way you would like to help, Please specify: I can help in the following way: Save my progress and resume later | resume a previously saved form Need assistance with this form?