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Menu
About
Who We Are
Our Impact
Our Legacy
Financials
Partners
CHR Blog
Contact & Hours
Visit
Adoption
Available Horses
Companion Connection
Foster Program
Placement Process
Courtesy Listings
Success Stories
Rehoming
Is It Time to Rehome?
Leg Up Program
Our Rehoming Process
Annie Project
Education
The Issue
Clinics & Events
Internships
Get Involved
Donate & Support
Corporate Partnerships
Sponsor A Horse
Volunteer
HorseAlert
PEAK Training Challenge
Mane Event At The Ranch
Career Opportunities
Donate
General Information
This program provides short-term financial aid to owners in difficult, temporary financial situations.
Date
*
MM slash DD slash YYYY
Owner Name
*
First
Last
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Primary Phone Number
*
Email
*
Does your horse live at this same address?
Yes
No
If not, please provide the address of the horse's location:
Name of Facility
Street Address
City
State / Province / Region
ZIP / Postal Code
Primary Contact/Caregiver for Facility, If Applicable
First
Last
Caregiver Phone Number, If Applicable
Why are you seeking assistance for your horse?
*
How do you plan to resolve your situation?
*
What areas of equine care do you need the MOST URGENT assistance with?
*
How long do you foresee needing assistance to care for your horse?
*
Your Horse's Information
Horse Name
*
First
Breed
*
Gender
*
Date Foaled/Age
*
Notable markings, scars, etc.
*
Who is your veterinary provider (name of individual or business)?
*
Veterinarian Phone Number
*
Most recent vet call date:
What type of care was provided?
Dental Care
Deworming
Vaccinations
Emergency Care
Other
Does your horse have any previously diagnosed health issues that are not already listed on this form (lameness, respiratory disease, etc)? How are these being actively treated or managed?
Who is your farrier care provider?
*
First
Last
Farrier Phone Number
*
Most recent hoof care appointment date:
Describe what you feed your horse on a daily basis.
*
Is there any other information you would like to provide?
Signature
By signing this application, I certify that:
I am over the age of 18 and I currently possess a brand inspection for this horse; I have disclosed all information requested for this horse; I give Colorado Horse Rescue permission to contact the veterinarian and farrier listed on this application to obtain records and receive consultation in regards to this horse; all information contained in this application is truthful to the best of my knowledge.
Signature
*
Upload an Image of Your Horse(s)
*
This is required for CHR's grant reporting and program funding, max file size 64MB. (allowed file types: jpg, png, pdf, gif)
Email
This field is for validation purposes and should be left unchanged.
Hang tight while we go get your horse!