Adoption ApplicationAdopt a Horse - Expression of InterestNote!! Please complete all questions and boxes. Failure to complete all required parts of the form will mean that your application will not submit. On successful lodgement of your form, you will be directed to a thank you confirmation page. If you do not proceed to the thank you page, please check your form for errors and resubmit. You will also receive a confirmation email including a copy of your application. If you don't receive this, your form has not been received. All questions marked * are required.YOUR DETAILSTitle*MrMrsMsDrFull Name* First Last Number & Street*Select State:QLDNSWACTVICWe currently only adopt to residents of Queensland, NSW, ACT & Victoria.Town*PostcodeBest Contact Phone Number:*Email* Work status*Full TimePart TimeCasualRetiredPensionWhat is your household's weekly income range?*$0-$500$501-$800$801-$1000Over $1000YOUR PREFERENCES Please read the assessment for the horse you are interested in. If you are a beginner rider please do NOT apply for a horse that has been listed as not for beginners. Your application will not be considered.The type of horse I am interested in is:* Riding Horse Companion HorseFor the safety of our horses there is a 100kg weight limit for riders. Please select the approximate weight of the main rider.*55kg or less55 - 60kg60 - 65 kg65 - 75 kg75 - 80 kg80 - 90 kg90 - 100 kg100 + kgName of horse you are interested in:*Please ensure you have read the adoption list and chosen the horse best suited to your requirements. Do not apply for horses not suitable for beginners if you are a beginner.Please tell us why you think this horse is right for you.*Please select all options that apply to your intentions for this horse:*Pleasure ridingJumpingShowing / CompetingCompanion for another horseChildren's horseLawnmowerPetWorkYOUR PROPERTYAddress where horse will be kept*Do you own the property where the horse will be kept?*RentOwnAgistHow many acres are available?*Type of fencing:*ElectricStraight WireBarbed WirePost & RailPlease describe the property, pasture and anything that may be relevant.*Please give specific descriptions of your property.YOUR EXPERIENCEDo you currently own a horse?* Yes NoDo you intend to adopt or obtain another animal as a companion to this horse?* Yes NoHow many horses do you currently have?*Please enter a number greater than or equal to 0.Please tell us about the horses currently living on your property - type, breed, age, sex and how long owned.*Farrier's Name* First Last Farrier's Phone NoName of Vet* First Last Vet's Phone NoIs this horse intended for you or another person?* Yes - It's for me No - It's for someone elseWhat is their relationship to you? Please ensure all riding experience is completed for the person the horse is intended for.*How many years horse experience do you have?* Under 1 year 1-2 years 2-4 years 5-9 years 10+ yearsWould you describe yourself as being nervous around horses*YesNoHow long have you been riding?* Under 1 year 1 - 2 years 2 - 4 years 5 -9 years 10+ yearsHow would you describe your riding ability*BEGINNER - just starting outINTERMEDIATE - riding for some time and know what I'm doingADVANCED - my knowledge and experience is advanced*PLEASE BE COMPLETELY HONEST ABOUT YOUR ABILITY* Note that beginners who apply for horses listed as not for beginners will not be considered.How would you rate your confidence when riding?*Please tick one box that best describes your level.Not confidentModerately confidentVery confidentWhen walking on a horse you are:*Not confidentModerately confidentVery confidentWhen trotting on a horse you are:*Not confidentModerately confidentVery confidentWhen cantering on a horse you are:*Not confidentModerately confidentVery confidentDo you have riding lessons or coaching?* Yes NoHow often do you have lessons?*WeeklyFortnightlyMonthlySometimesTell us about where you have lessons and your instructor.*Do you have current membership of an equine affiliated club or association?* Yes NoWhat is the name of the Association or Club?*Does membership of this Association or Club provide you with equine activities insurance?* Yes NoPlease tell us anything more about your abilities or riding experience that may be relevant.YOUR REFEREES Please provide details of two referees who can support your application and advise on your experience or abilities and suitability to adopt (not related to you). Preference is given to a coach, instructor, vet or farrier.First Referee: Name*Relationship*Best Contact Phone Number:*Second Referee: Name*Relationship*Best Contact Phone Number:*Any other comments to support your application:Upload photos of your property or fencing to support your applicationMaximum file size is 50mb Drop files here or Accepted file types: jpg, gif, png, pdf.By submitting this form I agree to the following:-I understand that many rescue horses are special needs animals and can require more care than a well-loved horse;I understand that aged horses need extra care and love due to their old age and they may need supplements for their joints and have a special diet;I understand that horses cannot be left in a paddock to just eat grass and that they need to be fed hay or hard feed, depending on the type of horse. (This includes paddock companions that are not being ridden).I am prepared to allow a property inspection or supply photographs of the property;I am aware that horses are a herd animal and preference is given to homes where there are other horses or I am prepared to adopt more than one animal;I understand that horses require constant care and I will commit to undertake all veterinary and husbandry requirements for this horse and cover all costs associated with ongoing care and treatment if successful - I understand this includes regular worming, vaccinations, dentals and farrier;I understand the horse will not be used for breeding and cannot be sold or given away;I understand that submitting an expression of interest does not commit me to the adoption process and that a selection process is in place to select the most suitable applicants for the individual horse;I understand that submitting an expression of interest does not guarantee I will be successful.I am aware that I must pay for transportation to collect my horse if adoption is successful;I have not been found guilty of any animal welfare or care related offence.