The Hay Bank :: Application Form

Applicant Name:

Phone:

Email Address:

Applicant Address:

Applicant City:

Applicant State:

Applicant Cell Phone:

Please list the age of horse and number of years you have owned it:

Age

Years Owned

Horse 1:

Horse 2:

Horse 3:

Horse 4:

Horse 5:

Horse 6:

Veterinarian's Information

Veterinarian's Name:

Veterinarian's Phone:

Please provide (2) references with phone number: You can use your farrier or other equine professional.

Reference #1 Name:

Reference #1 Number:

Reference #2 Name

Reference #2 Number:

Please tell use why you need the hay:

How much are you currently feeding daily?

How much hay do you have on hand?

Occupation Status:

Please be aware that not all applicants will qualify for hay. It is our goal to help those with the most urgent needs first, as well as make sure that we are only helping to feed your horses until you are capable of doing so yourself OR re-home them. The Hay Bank is for those who can show PROOF of prior adequate care of their horses. REFERENCES WILL BE CHECKED. The Hay Bank was not organized to encourage the ownership of horses when it is not economically feasible. All attempts must be made to re-home horse(s) if a change in economic status is not forthcoming. We ask that recipients of hay give back to The Hay Bank when you are financially able to do so. Thank you. A Colorado Nonprofit Corporation (@2010122029)