Surrender Form

P.O. Box 166 - Howell, MI 48844 / (517)548-4880 / horseshavenmi@gmail.com

Horses’ Haven is not a retirement facility or sanctuary. All our equines are available for
adoption to approved homes and can return to Horses’ Haven for any reason for the life
of the horse. We have a limited number of spots available and your horse may be put
on a waiting list depending on urgency of need and available space. Please fill out one
form for each horse you would like to re-home.

Horse's Name *

Horse's Registered Name *

If registered, name of breed association: *

Please describe the skill level needed to handle your horse: *

Beginner: Easy to handle on the ground and under saddle. Friendly, steady, not reactive, "been there, done that" type of horse. Intermediate: The horse is potentially reactive or has their own ideas on the ground and under saddle. Or they may be easy to handle on the ground but can be a little challenging under saddle, potential to spook or refuse to listen to the rider at times. May require additional training. Advanced: Highly trained or very green and exhibits unpredictable or overactive behaviors. Horse needs someone who is very experienced or has experience training horses. Trainer: Horse demonstrates behavior from the advanced category and may be unhandled or aggressive towards people. They will need someone with several years experience training multiple types of green horses.

What riding activities do you do or have you done with your horse? (Example: Western or English pleasure, trail riding, ranch work, dressage, showmanship, etc.) *

Describe any known soundness and lameness issues: *

Veterinarian *

Phone Number *

Does your horse have any urgent medical needs or injuries that require immediate attention? Please Explain. *

May we contact the veterinarian? (Please call and request that the horse’s medical records be sent to us or authorize their release to us.) *

Yes No

Last Coggins Date *

Last deworming date and type of dewormer given *

Last Vaccination Date *

Has your horse been diagnosed with any chronic illnesses or lameness and how are you treating? Examples: Uveitis, Cushing’s, navicular, arthritis, heaves, respiratory issues, EPM, etc. *

Describe any behavior issues such as cribbing, bucking, kicking, biting, bolting, etc. *

Current medications *

Has your horse been exposed to any contagious diseases in the past six months? (Examples: Strangles, Flu/Rhino, etc.) *

Yes No

If yes, what have they been exposed to and have they been treated and cleared to travel by a veterinarian? *

Does your horse have any special feeding requirements? Include supplements. *

If your horse is a gelding, was he gelded in the last 6 months? *

Yes No

If your horse is a mare, has she been exposed to a stallion in the past year? *

Yes No

Is there anything else you would like to tell us about your horse? *

Thank you for taking the time to provide this information. It will help us find the best possible home for your horse.
Please attach papers, medical records, current coggins test or any other pertinent documents in your possession that refer to this animal.
Thank You.

Upload File *

Max file size: 20MB

SURRENDER STATEMENT (PLEASE READ CAREFULLY BEFORE SUBMITTING):
1. I am the sole owner of this horse. There are no liens or encumbrances placed on this animal.
2. By leaving this animal with Horses’ Haven, I am relinquishing all rights of ownership.
3. I understand that by relinquishing ownership rights to this animal, I may not be able to determine its final placement. I do understand that Horses’ Haven does NOT sell animals for research or slaughter or send them to auction. I understand that the animal may be placed in a new home or humanely euthanized, if and when necessary.
4. I agree that neither Horses’ Haven nor its employees/volunteers will incur any obligation to me in regards to this animal.
5. I understand that if I wish to adopt this animal in the future, I will have to go through the normal adoption process.
6. All information contained in this application is truthful to the best of my knowledge.

Submit

Thank you for completing the surrender form.
In the meantime, please network with your equine vet, friends, tack and feed, and the Michigan Horse Welfare Coalition, etc. for further help to find a new home for your horse.

The surrender form is also available in pdf format if you would like to download a blank copy:

horses_haven_surrender_form.pdf
File Size:	89 kb
File Type:	pdf

Download File

Surrender

Surrender Form

Horses' Haven