Horse Donation Form - ReplayPolo | Animal Welfare Organization

DONATE A HORSE - PROFILE

Information and Screening
The information you provide below will help determine if a horse is a good fit for a particular home. The goal is to have every horse placed in an optimal situation.

Use this form if you would like us to consider your horse for donation to the ReplayPolo Program. You can complete and submit the form here online.

Your Name:*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Your Email:*

Best number to call you:*

What is the address where the Horse is currently located?*

Street Address City State ZIP Code

What's the registered name & barn name of the Horse you wish to donate?*

How old is Horse?*

How many hands is the Horse?*

What sex is the Horse?*

Mare
Gelding

What breed is the Horse?

Why was the Horse retired from polo or racing?*

When was the last time the Horse raced or played in a match?*

Highest level of competition:*

What region of the country would you like it to live in?*

What would you like your horse to do next?

pasture mate; can not be ridden
lesson horse
therapeutic riding horse
pleasure riding
competition horse

Choose 1 or more options

Disclose all health and lameness issues and how you are treating the Horse:

Mental or physical vices?

Hoof Condition

Select 1-5 (5 being the best)

How is the horse shod?

barefoot
front shoes
all 4 shoes

Choose 1 or more options

When was the last time you had the Horse’s teeth floated?

Select the most recent date

What are your Horse’s strengths and best traits?

What are your Horse’s weaknesses or worst traits?

Is your Horse dominant or submissive in the herd?

Is your Horse turned out with any other horses? If so, how many horses and is s/he turned out with mares, geldings, stallions, or yearlings?

What is your Horse’s daily feed routine and does it appear to maintain his/her condition in a good manner?

Is your Horse’s Coggins current? If so, please provide date of last Coggins test.

Optional: upload photo of the Coggins

Accepted file types: jpg, gif, png, pdf, Max. file size: 12 GB.

Are your Horse’s vaccines current? If so, please provide list of current vaccines and dates last given.

Can this horse be resold by the Adopter?*

Yes
No

To continue to care for your horse at your farm during the adoption process please answer these 2 questions:

Are you willing to continue to care for the Horse at its current location pending its adoption? If so, are you also willing to allow a prospective adopter inspect and ride the Horse at that location?

Yes
No

If the Horse stays with you pending its adoption, will you promise to give weekly updates on its condition to ReplayPolo and rely on ReplayPolo to place it with an adopter?

Yes
No

To surrender possession of your horse immediately answer these 2 questions and submit fee:

If you need to immediately surrender ownership and possession of the Horse to the adoption agency, will you pay for its transportation to ReplayPolo’s facility?

Yes
No

If you need to surrender ownership and possession of the Horse immediately, are you willing to make a one-time donation in the amount of $1,000 which would provide one month’s care for the Horse?

Yes
No

If yes: use this button to make the donation:

Will you take the Horse back if the Adopter does not want it anymore or can no longer care for it?

Yes
No

Should this Horse remain at its new home the rest of its life?

Yes
No

Is the Horse kid friendly?

Yes
No