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Please provide the following information in an email or letter to Epona
Horse Rescue 20100 SW 114th
Crete Nebraska 68333
YOUR INFORMATION:
Name First and Last:
Address How Long at current address
DL-State issued
Email address
Telephone/Cell Phone
Employed by
If Renting/ Landlord Name
Address/ phone number
Married couples must each fill out application/ horse is adopted to an
individual party
3 Personal/ Professional References
Name First and Last:
Address
Telephone /Yrs known______________
Farrier and Veterinary References
Name
Address
Yrs known
Telephone
Please circle.
The horse will be kept at this address: Boarding or Residence
If Boarded then boarding contract will have to be signed.
Name / Telephone /Business hours
The daily feeding will be done by __________________.
The boarding facility is ________miles from my residence.
Horse Rescue 20100 SW 114th
Crete Nebraska 68333
YOUR INFORMATION:
Name First and Last:
Address How Long at current address
DL-State issued
Email address
Telephone/Cell Phone
Employed by
If Renting/ Landlord Name
Address/ phone number
Married couples must each fill out application/ horse is adopted to an
individual party
3 Personal/ Professional References
Name First and Last:
Address
Telephone /Yrs known______________
Farrier and Veterinary References
Name
Address
Yrs known
Telephone
Please circle.
The horse will be kept at this address: Boarding or Residence
If Boarded then boarding contract will have to be signed.
Name / Telephone /Business hours
The daily feeding will be done by __________________.
The boarding facility is ________miles from my residence.