Northern Ireland Charity Commission 104028
Registered Charity No. XR16305
EQUINE RE-HOMING APPLICATION
Please complete all sections of this form to the best of your ability.
Title
First Name
Last Name
Address
County
Postcode
Telephone (home)
Telephone (work)
Mobile Number
Please give details of your experience of working with horses/ponies.
Proposed rider(s) details (if applicable)
Name
Age
Height
Weight
Name
Age
Height
Weight
Please use the next section to give details of what you expect from the horse/pony you propose to re-home.
Equine Name/s (if known)
Please give details of the type of horse/pony you wish to re-home.
Preferred requirements of equine to be re-homed
Height of Equine:
Age of Equine:
min max
min
max
hh
hh
years
years
Proposed activities of equine.
Please select all that apply.
Light hacking
Daily hacking
Competition
Companion only
Please give details of all proposed activities ie. jumping, eventing, etc.
Please note a horse or pony re-homed for companion only must not be ridden at any time
Please use the next section to give details of what facilities you will provide.
Address where the horse/pony is to be kept (if not the same as above.).
What type of Address will the horse/pony be homed to?
Private
Livery
Riding School
Working Farm
How much acreage is available?
How many horses and ponies are turned out on this land in total?
How often would your horse/pony be turned out and for how long?
Are they turned out singly or in groups? Please give as much detail as possible.
Do you have access to grass free turn out?
Please select all that apply.
Sand paddock
Woodchip Area
Corral
Other
Fields
Please give details of;
Fencing
Shelter
Water source
Stabling
Please give details of;
Hard Standing
Electricity
Water
Horse Care
Please give details of;
Feeding Regime/System
Worming programme
Primary carer
(if you will not be the primary carer please state who will be and the arrangement
Please give name, address and telephone number of your vet, farrier and any other professional that you use.
Vet
Farrier
Other Professional
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