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application form
Home
About Us
Shop
Available Horses
application form
Route66 Revival Project
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Applicant Information
Full Name
Phone
Email
Address
Best way to contact
Call
Text
Email
Are you 18+?
Yes
No
Which equine are you applying for?
Open to different match?
Yes
No
Purpose / Plan
Companion only
Pleasure riding
Trail riding
Arena riding
Training project
Lesson/program horse
Other (enable “Other text input”)
Rider Experience
Not applicable (companion)
Beginner
Intermediate
Advanced
Professional
Where will the equine live?
Pasture with shelter
Dry lot with shelter
Stall + turnout
Pasture + stall combo
Shelter available
Run-in shelter
Barn access
Other
Acres available
Type of fencing
How many equines on property?
Compatible companion?
Yes
No
If no, companionship plan
What is your equine experience?
Have you owned equine before?
Yes
No
Who will be responsible for daily care?
Farrier name + phone
Farrier schedule
6–8 weeks
Other
Vet name + clinic + phone
Have you ever sold or taken equine to an auction?
Yes
No
If yes, please explain circumstances.
Have you ever been charged with animal abuse or animal neglect?
Yes
No
Give name and phone number of one personal reference.
Digital Signature
Date
Submit
