Name: Horses' Haven
Address: Howell, MI
Telephone: 5175484880

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.

Current owner's name:*

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Phone Number:*

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E-mail:*

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The e-mail address is invalid

Address:*

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Current location of horse if not at owner address:

What is the primary reason you wish to re-home your horse?

Would you like us to disclose your name to the new adopter?

Do you wish for this surrender to remain confidential?

How did you hear about Horses' Haven?

Horse's name:

Horse's registered name:

If registered, name of breed association:

Gender: (Mare, gelding, stallion)

Breed:

Color:

Date foaled/age:

How long have you owned this horse?

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, 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 types of green horses.

Horse’s current capabilities under saddle:

Non-riding companion

Lead Line Only- pony rides at a walk/trot

Serviceably Sound/Restricted Riding- walk/trot only or low intensity flat work 2-3 times a week

Riding- sound at walk/trot/canter and okay for long rides on tougher terrain or competition.

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 name and number:

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

Last Coggins Date:

Last Vaccination Date:

Last Deworming Date and type of dewormer given:

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

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.

Current Medications:

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

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

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?

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

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

* Indicates required fields

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We will get back to you about your inquiry as soon as possible, thank you.

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

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.

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

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

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