East Texas Horse Rescue & Sanctuary
12992 State Highway 21 East
Alto, Texas 75925
Inspection form
Date:_________
Name of Horse_____________________________________ETHRS#______________
Caregiver:
Name ________________________________________________________________
Address_______________________________________________________________
City, State, Zip__________________________________________________________
Home Phone ____________________________Cellphone______________________
Email address__________________________________________________________
Type of inspection: Adoption
adopt 3 month 6 month 1 year
Person Inspecting:
Name_________________________________________________________________
Address_______________________________________________________________
City, State, Zip__________________________________________________________
Phone _______________________________________________________________
Cell Phone___________________________
Email address________________________________
Is this a suitable home for the equine?
_____________________________________________________________________
Why or Why not?_______________________________________________________
_____________________________________________________________________
Is the equine located somewhere other than the adopter’s home address? Y N
If yes, where?__________________________________________________________
_____________________________________________________________________
Who owns this property?__________________________________________________
_____________________________________________________________________
Any changes in location since the last inspection?______________________________
_____________________________________________________________________
Where will the equine be kept? ____________________________________________
What is the fencing like? _________________________________________________
Type _____________________________ Height ______________________________
How large is the paddock or pasture?________________________________________
What type of shelter will the animal have?_____________________________________
Photographs needed:
Shelter
Feed and feed storage
Fencing
Water Source
Follow up Photographs of Equine:
Equine in paddock or pasture
Full body side
Head
Feet
Front and rear
For follow up inspections:
Is the adopted animal in good health? Good Fair Poor
Explain_______________________________________________________________
____________________________________________________________________
What is the equine being fed?____________________________________________
Current vaccinations? Y N Date of last vaccination__________________________
Current worming? Y N Date of last worming ______________________________
Condition of hooves ________________ Date they were trimmed last _____________
Please list any comments or concerns on the back of this sheet:
Inspectors Signature_________________________________Date_____________
copywrite 2004 East Texas Horse Rescue & Sanctuary
Revised 5/4/05