So you have decided to consider surrendering (donating) your horse or pony...here is some basic information to keep in mind...
We will need the following basic info: breed,
age, height, soundness issues, behavioral issues, training, temperament, reason for
surrendering and any other pertinent information you can provide to help us help place
your horse or pony.
When we have space to take your horse or pony, here is the list of what needs to
accompany him or her:
*Completed Surrender form (Please copy and paste the Surrender Form (below) for Horses
and Ponies) Highlight text to be copied, press CTRL + C, open a blank word or email and press CTRL_V, go ahead and type in the blanks. Either Email or Snail Mail information to ME!
*Current (negative) Coggins test (within 30 days)
*Current Health Certificate (within 30 days)
*Proof of current vaccinations and worming (within 120 days)
*Recently trimmed or shod (within 30 days)
*Well fitting halter and lead rope
*Winter Blanket
*Complete History, including training, level rider required (if trained to ride) past and
present health and soundness records, any medical or behavioral problems/issues, overall
temperament, etc.
*Please also include what type of home/situation you think your horse/pony would do best
in
*Surrender fee $250
*Any tack that you would be willing to donate with her that
fits above animal
Transportation to our facility is the responsibility of the surrendering owner. In the event
that the surrendering owner cannot or will not transport the horse or pony to our facility,
arrangements can be made, at surrendering owners expense, with us to
transport the surrendered horse or pony. Generally speaking, depending on location and
mileage, local transport usually runs between $35-$75/per animal
If you would like to surrender your horse or pony, but need
assistance with surrender fees, please check with us. IF YOU JUST CANNOT FEED YOUR HORSE ANYMORE - CONTACT US BEFORE YOU ALLOW THIS TO HAPPEN:
If you have any questions, or would like more information or to be put on the waiting list,
please feel free to contact us.
Horse Surrender Form
Horse Information:
Horse Nickname _______________________
Full Registered Name ___________________________
Registration Association and # ________________original breed papers with signed transfers must be submitted with this form
Breed _____________________
Age _______
Gender______________
Color__________________
Descriptive Markings and Brands: ______________________________________________________
__________________________________________________________________________________
Current Owner Information:
Current Owner ________________________
Street Address _________________________________
City ___________________
State _____
Zip Code _________
Home Phone ____________________
Cell Phone _________________
Work Phone _________________
Email ______________________
How long with current owner? ___________________
Prior to current owner? ___________________
Reason for surrendering horse to Horses in Harmony _______________________________________________
Medical and Temperament History:
Most recent vaccinations including date administered: _______________________________________
Most recent worming including date administered and product used: ___________________________
Does this horse have a current negative Coggins test? _____ (if so, original Coggins test must accompany this form)
Has this horse been vaccinated for West Nile Virus within 6 months?______
Stand tied?___________
Does this horse load into a trailer? _____
Lead? _____
Clip? ____
Stand for the hose? ____________
Stand for the farrier?______
Stand to be wormed/vaccinated? _____________
Known unsoundness, lameness, or other medical conditions:__________________________________
__________________________________________________________________________________
Current treatment or veterinarian recommendations: ________________________________________
__________________________________________________________________________________
Any known feed or medication allergies? _________________________________________________
Please list all known special needs, overall temperament, any likes/dislikes, quirks, vices, and any other necessary or useful information:
On a separate sheet of paper, please write up a brief (or not so brief) history of this horse. Also, if you have any preferences for the type of adoptive home you would like to see this horse go to, let us know. We can’t promise specifics when placing horses into new homes, however we do try to take into account the type of situation owners would like to see their horse go to.
Release:
I , _______________________ agree that the above information is true to the best of my knowledge. I understand that by signing this form, I agree to surrender legal ownership of my horse(s) listed above to Horses in Harmony,LLC. It is understood that the surrendering party shall hold Horses in Harmony and all it’s officers, directors, employees, and volunteers harmless from any claims of damage, injury, or acts of negligence arising from this surrender. I have read and thoroughly understand this release of liability and agree to abide by it.
Owner____________________________ Date____________ Horses in Harmony office_____________
Please return this to: Horses in Harmony, LLC, 36201 County Road 439, Eustis, FL 32736
You may also copy and paste the form and fill out your answers, submitting electronically to "onefitbrit@aol.com", however, THE ORIGINAL PAPERS AND SIGNATURES MUST BE MAILED TO US IN ADDITION TO YOUR EMAIL SURRENDER.
