East Texas Horse Rescue And Sanctuary
12992 State Highway 21 East
Alto, Texas 75925
Personal Reference
Adopter / Foster applicant:
Name___________________________________________________________
Address_________________________________________________________
City, State, Zip
_______________________________________________________________
Phone __________________________________ Cell ____________________
The personal reference listed below must be different than the person who filled
out the veterinarian reference and it may not be an immediate family member.
Reference:
Name___________________________________________________________
Address_________________________________________________________
City State,Zip_____________________________________________________
Phone ________________
How long have you known the person applying?__________________________
Tell us about the care and condition of equines in his/her care now:
_______________________________________________________________
_______________________________________________________________
Would you recommend this person as a adoptive home?
_______________________________________________________________
Why or why
not?___________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Signature of Personal Reference Date
Copyright © 2005 East Texas Horse Rescue and Sanctuary,Inc.