Adoption Return Request

First *

Last *

Address *

City *

State *

Zip *

Email *

Phone *

Jockey Club Name of Horse *

Date Adopted *

Why do you want to return this horse? *

Has the horse been ridden regularly in past 4 months? *

YesNo

If yes, please describe:

Has the horse had any significant health issues during its time with you? (lameness, arthritis, colic, injuries, ulcers, eye problems, etc.) *

YesNo

If yes, please describe:

Has the horse shown any behavioral issues during its time with you? (biting, cribbing, kicking, bucking, refusing fences, rearing, bolting, etc.) *

YesNo

If yes, please describe:

Date of most recent coggins *

Date of most recent vaccinations *

Date of most recent dental *

Date of most recent farrier visit *

Date of any ulcer treatment *

Thank you for submitting the form.
A LOPE team member will contact you upon review of the information.

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