Annual Adopted Equine Questionnaire

2006 Annual Adopted Equine Questionnaire

First name:
Last name:
Email address:
Address 1:
Address 2:
City:
State:
Zip code:
Phone:
Equine Name
Date of Adoption
Where is your equine currently being kept? Please describe the general facility (if at a boarding facility - please provide the name and phone number of the manager/owner), type of fencing and if there are any companion equines.
What level of training have you achieved with your horse (ground manners, riding, etc.)? Are you riding your horse? If so, how often and what type of riding do you do (trail,pleasure, showing, etc.)?
Names of the following: Veterinarian, Dentist, Farrier and an approximate date (month) of their last visit:
Have you encountered any illnesses or specific veterinary problems with your horse?
Please list your equine's deworming schedule and the most recent vaccines given:
What are you currently using for feed (grain/hay)? Do you make adjustments during the winter months? Please answer as specifically as possible - stating approximate amounts and frequency, etc:
Additional Comments (Optional) - We would love to hear about your adopted equine and share your success with our newsletter readers
PLEASE EMAIL A CURRENT, DATED PHOTOGRAPH OF YOUR EQUINE TO: tina.mhf@verizon.net. Thank you very much!

Middleburg Humane Foundation is a 501(c)3 nonprofit organization. All donations are 100% tax deductible. MHF continues to be entirely funded by private donations with no state or county funding. Please donate via paypal or make your check payable to: MHF and mail to MHF, PO Box 1238, Middleburg, VA 20118. Click here for other ways you can help.