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Menu
Who We Are
Who We Are
Our History
Our Team
Our Supporters
Financial Statements
Meet The Horses
Meet The Horses
Up for Adoption
Track to Hack
Ridden Horses
Young Projects
Companion Horses
Currently in Care
Golden Oldies
Currently in Rehabilitation
To Be Assessed
Long Term Care
Adopted – Our Success Stories
Before & After Gallery
Rainbow Bridge
Get Involved
Get Involved
Adopt a Horse
Fundraising
Volunteer
Spread the Word
Ways to Give
Ways to Give
Donate
Sponsor a Horse
Raffles
Bequest
Shop
News & Raffles
FAQs
Supplement Info
Contact Us
Who We Are
Who We Are
Our History
Our Team
Our Supporters
Financial Statements
Meet The Horses
Meet the Horses
Up for Adoption
Track to Hack
Ridden Horses
Young Projects
Companion Horses
Currently in Care
Golden Oldies
Currently in Rehabilitation
To Be Assessed
Long Term Care
Success Stories
Before & After Gallery
Rainbow Bridge
Meet The Horses
Up for Adoption
Track to Hack
Ridden Horses
Young Projects
Companion Horses
Currently in Care
Golden Oldies
Currently in Rehabilitation
To Be Assessed
Long Term Care
Adopted – Our Success Stories
Before & After Gallery
Rainbow Bridge
Get Involved
Get Involved
Adopt a Horse
Fundraising
Volunteer
Spread the Word
Ways to Give
Ways to Give
Donate
Sponsor a Horse
Raffles
Bequest
Shop
News & Raffles
FAQs
Supplement Info
Contact Us
Surrender a
Horse
Surrender Agreement Form
"
*
" indicates required fields
Surrendering Owner Information:
First Name
*
Last Name
*
Number & Street
*
Suburb
*
Postcode
*
Phone
*
Email
*
How long have you owned this horse:
*
Do you have proof of purchase or registration papers? (If so, please provide a copy)
*
Yes
No
Reason for surrendering:
*
Horse Information:
Horse Name
*
Registered Name (if known):
Breed:
*
Age
*
Date of Birth (if known)
Gender
*
Brands
*
Colour
*
Microchip Number
Descriptive Markings
Vaccinations - type and dates last given
Worming - type and dates last given
Farrier - last visit
Teeth - last visit
Is the horse started under saddle?
*
Yes
No
How long has it been since the horse was ridden?
*
What situations / disciplines has the horse been ridden in?
*
Details of any previous colic, founder, surgical procedures or other issues
Known unsoundness, lameness or other medical conditions
Current vet treatment or recommendations (please provide reports, quotes or X-rays if applicable):
Known feed or medication allergies
Current diet
Describe the overall temperament of the horse - include any known likes/dislikes, quirks, vices and any other necessary or useful information
Please check all that is applicable:
Biting:
*
Yes
No
Kicking:
*
Yes
No
Cribbing:
*
Yes
No
Rearing:
*
Yes
No
Windsucking:
*
Yes
No
Separation Anxiety:
*
Yes
No
Stands well for Farrier:
*
Yes
No
Floats:
*
Yes
No
Stands for bathing and grooming:
*
Yes
No
Leads:
*
Yes
No
Stands tied:
*
Yes
No
Stands for worming:
*
Yes
No
Gets on well with other horses:
*
Yes
No
Can be paddocked with:
*
Mares
Geldings
Alone
Required fencing:
*
Any
Electric
Post & Rail
Please provide list of rugs / tack / grooming supplies to be donated with the horse
*
Please Upload 1 x 2 images of the horse you’re surrendering so we can understand the condition of the horse and its needs.
*
Drop files here or
Select files
Max. file size: 5 MB, Max. files: 2.
By submitting this form I agree to the following:
*
By submitting this form I agree to the following:
*
I declare that the above information is true to the best of my knowledge and that I am the legal owner of the horse described above. I understand that by signing this form, I agree to surrender legal ownership of my horse listed above to Save a Horse Australia Inc. I further understand that the horse will be adopted out under a lifetime adoption contract to a suitable third party and that I will have no claim or rights to the animal. I shall hold Save a Horse Australia Inc and all its officers, directors, employees and volunteers harmless from any claims of damage, injury or acts of negligence arising from this surrender. I understand that equine activities have a high risk of injury or death. I understand that I may visit the horse listed only by prior appointment. I have thoroughly read and understood this release of liability and agree to abide by it.
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