Oatman Burros Rehab & Recovery Sanctuary

Oatman Burros Rehab & Recovery SanctuaryOatman Burros Rehab & Recovery SanctuaryOatman Burros Rehab & Recovery SanctuaryOatman Burros Rehab & Recovery Sanctuary
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  • Pack Burro & Burro Races
  • Volunteer Application
  • Surrender Form

Oatman Burros Rehab & Recovery Sanctuary

Oatman Burros Rehab & Recovery SanctuaryOatman Burros Rehab & Recovery SanctuaryOatman Burros Rehab & Recovery Sanctuary
  • Home
  • About Us
  • Sponsor a Burro
  • Meet The Burros
  • Adoptable Burros
  • Burro Rescues in USA
  • Adoption Application
  • Adoption Agreement
  • Trash 2 Treasure Training
  • Contact Us
  • Community Outreach
  • Burro/Donkey Therapy
  • Release of Liability
  • Tinkerbell’s Baby
  • Pack Burro & Burro Races
  • Volunteer Application
  • Surrender Form

Surrender Form

Oatman Burros Sanctuary

www.OatmanBurrosSanctuary.com 928.201.5926

EQUINE SURRENDER AGREEMENT

I, the undersigned, irrevocably surrender and relinquish to Oatman Burros Sanctuary for placement, adoption, or retirement, the following equine(s):

Name: _____________________________________

Breed: _______________________Registration No. ___________________ (attach registration papers if applicable)

Age: _________ Sex: ______________

Reason(s) for surrendering the above equine(s):

____________________________________________________________

____________________________________________________________

____________________________________________________________

If the above equine(s) is/are mare(s), is there a possibility she could be pregnant? Y__ N___

Identification (tattoos or brand(s): ____________________________________ 

Color and Markings: ______________________________________________ 

Ridable: Y__ N__ Discipline (English, Western): _________________________

Has/Have this/these equine(s) ever received professional training? ______________ 

What type of training and for how long? ________________________________ 

Has this equine ever injured anyone? Y____ N___

If yes, please explain: ____________________________________________________________

____________________________________________________________

Any habits we should know about? (biting, kicking, cribs, etc?) ____________________________________________________________ ____________________________________________________________

Phone number of any Veterinarian who has treated animal and state: ____________ ____________________________________________________________

Phone number for any farrier who has treated animal and state:________________ ____________________________________________________________ Please list dates of equine’s last vaccinations, worming, hoof and dental care:

Tetanus

Rhino Flu Rabies

West Nile Virus Worming

Hoof Care Dental Care

Date:___________________________ Date: __________________________ Date: __________________________ Date:__________________________ Date:__________________________ Date:__________________________ Date:__________________________

Attach most recent vet/dental records to this form. If the horse has not been vaccinated in the current calendar year, please vaccinate the horse before surrendering and provide copies to records to Oatman Burros Sanctuary. If you need financial assistance with this, please let us know immediately.

Does this horse have a current coggins? Y__ N__

(Please attach current coggins per Arizona State Law Regulations.)

Are there any medical conditions that we should be aware of? (ie. Founder, choke, allergies, vaccine reactions, history of colic, cushings, EPM?) ____________________________________________________________ ____________________________________________________________ _____________________________________.

Is this equine accustomed to pasture turn out? Y___ N___ Stall? Y____ N_____

How does this equine get along with others in a herd situation? (ie. Alpha, okay with everybody, fights) _______________________________________________ ____________________________________________________________ ___________________________________.

Does this equine stand easily for farrier? Y___N___ If no, please list anything that makes trimming easier (ie, sedations, etc) _______________________________ ____________________________________________________________

Does this equine load easily? Y__ N___. Explain.__________________________ ____________________________________________________________ ____________________________________________________________

Representations and Warranties

I hereby represent and warrant to Oatman Burros Sanctuary that the undersigned is the sole owner of the above described equine; has the authority to surrender this equine for adoption/placement or retirement from Oatman Burros Sanctuary; that no other person or person’s signature is required to initiate a valid transfer of ownership and registration papers on this equine (if available); and that no others person or persons has any legal equitable ownership interest in this equine.

Delivery of Registration

I agree to deliver to Oatman Burros Sanctuary, a properly signed transfer of all registration papers, if available, for the above described equine(s), omitting the name of the transferee.

Other Pertinent Information and Consent for Contact

I also agree to provide Oatman Burros Sanctuary, with all available information concerning this equine which might assist with finding the equine a future home. This information includes but is not limited to health/vaccination records, previous owners’ identification, life events, and individual personality traits. I also understand Oatman Burros Sanctuary. may contact previous owners, breeders, veterinarians, and farriers to obtain information and assist in leaning and making transition more comfortable and/or find the best suitable home for placement.

Surrender Rights

By executing this document I understand that I am giving up forever rights to, titles to, and interests, regardless of the delivery or non-delivery of registration papers to the above equine(s) voluntarily and without coercion or threats of any kind. I further understand that all future decisions regarding the placement of this equine will solely be those of Oatman Burros Sanctuary. I also understand if this equine is found to be unsuitable for placement for reasons determined by Oatman Burros Sanctuary and/or a licensed veterinarian that the equine may be retired at Oatman Burros Sanctuary to its sanctuary program or euthanized. Lastly, it is understood that the surrendering party shall hold Oatman Burros Sanctuary, and all its officers, directors, employees, and volunteers harmless from any claims of damages, injury, or acts of negligence arising from this surrender.

This is a legally binding document for the irrevocable surrender of an equine for placement in an adoptive home by Oatman Burros Sanctuary. Please read this document carefully and thoroughly before signing. Take as much time as you need to consider this decision.

SIGNATURE: __________________________________________________ 

PRINTED NAME: _______________________________________________ 

DATE: _______________________________________________________ 

ADDRESS: ____________________________________________________ 

TELEPHONE NUMBER: __________________________________________

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Oatman Burros Rehab and Recovery Sanctuary 2311 E Hulet Mohave Valley Az 86440 928-201-5926

An Arizona Domestic Non Profit Corporation #23083402 501c3 EIN 84-4984069

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