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Mississippi Horses Adoption Application
Thank you in your interest in adopting a rescue. Please fill out form and submit.
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* Indicates required question
Name
*
Your answer
Street Address
*
Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Contact Phone Number
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Your answer
Email Address
*
Your answer
Date of birth
Your answer
How long have you lived at the above address?
*
Choose
1 year
2 years
3 years
4 years
5 years
6-10 years
Over 10 years
Employer
*
Your answer
Employer Phone
*
Your answer
What type of equine are you looking for?
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Your answer
What is your intended use for your new equine?
*
Your answer
List the name(s) of any particular horse(s) that we have that you may be interested to adopt.
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Your answer
Have you previously owned and/or cared for a horse?
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Yes
No
Required
How many horses have your owned/cared for?
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Your answer
How many equines do you currently own?
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Your answer
How much and what type of experience do you have with horses?
*
Your answer
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