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Adopting me

Adopting me

Next steps to adopt Larry

Animal nameLarry
Animal reference number300492
CentreEquine - Rolleston
AddressHilda Archer Sanctuary, Dovecliff Road, Rolleston-on-Dove, Staffordshire DE13 9AU
Telephone0300 777 1520
Emailequinerehoming@bluecross.org.uk
Contact nameRehoming team

This questionnaire will assist our staff in helping you find which horse/pony may be best suited to your circumstances. Please be as accurate as possible.

Your details

Title:

First name:

Surname:

Date of Birth:

Are you over 18? Yes No

Address: Postcode: Email:

Please provide at least one telephone number.

Telephone (mobile):

Telephone (home):

Your horse/pony

What type/breed of horse/pony are you looking for? What sex are you looking for?

Approximate age:

Approximate height:

Would you consider rehoming an inexperienced horse/pony or to educate? Yes No

Please provide details with regards rehoming:

Would you consider rehoming a horse/pony with medical problems? Yes No

Please select which medical conditions you would be willing to accept: Sweet itch Laminitis Arthritis On medication

Yard Address:

Riders

Main rider

Name:

Age:

Height:

Weight:

Additional rider

Name:

Age:

Height:

Weight:

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