Application Form

Application Form

an Expression of Interest
*Note - You must be over 18 to be eligible for foster, purchasing or caring for any of our horses. The applicant will be deemed the responsible carer for the horse/s.
To become a Permanent Carer the horse/s fully become your responsibility and if application approved, will be removed from website/FB and promoted as having found New Forever Home.

To become a Foster Carer you care for the horse/s as if your own but they remain MERCI horses and promoted on our website/FB in order to find a permanent Forever Home, which you may apply for.

To Surrender your horse/s please be aware we will conduct reference checks to ensure your reasons are genuine.
What are you applying for??*

I want to become a Permanent CarerI want to become a Foster CarerI need to Rehome my HorseI want to Surrender my HorseOther
*If applying for more than 1 option, please fill out a second Application form.
Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Mobile Number*
Please upload front and back of Drivers License

Browse Files

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Drivers License Expiry
A Donation is required to MERCI to become the Permanent Carer of a horse/s. This is required to assist in recouping some costs in caring for our rescued Horses. Do you agree to Donate in order to become a Permanent Carer?*

YesNo
To Re-Home your horse/s through MERCI we will carry out all reference checks with the New Permanent Carer and draw up a contract for the approved applicant. The horse must not be released until the $150 or 10% (whichever is greater) Donation is paid to MERCI and application approved by MERCI prior to collection of the horse/s. Do you agree with this?*

YesNo
Please tell us briefly WHY you can no longer care for yore horse.
You are the rightful owner of mentioned horse/s and agree to surrender all rights to Merci. You are willing to hand ownership over to Merci. Merci will assess and give adequate care and training where required and will endeavour to find the best possible home for your horse/s under a Merci contract. You expect no payment for your horse/s knowing we will receive a donation for your horse/s when re-homed. You will be able to view publicly shown images but agree not to contact the new owner unless prior arrangement has been made in writing.

I AgreeI Disagree
Please provide your Farriers Name *

First NameLast Name
Farriers Phone Number

Area CodePhone Number
Please provide your Vets Name *

First NameLast Name
Vets Phone Number

Area CodePhone Number
You can upload up to 10 current images of your horse. Please include face, complete right side, complete left side and brands if any.

Upload Files

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Please give horse/s height, colour, sex, breed, age, temperament, rider suitability, ailments/injuries and any other information about horse as possible. The more Information the better.*
All known information and ailments must be disclosed
Do you need us to collect horse?

YesNo
Address where horse/s is currently

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
When must horse/s be removed from property?

DayMonthYear
Leave blank if no date required
Have you cared for horses before?*

YesNo
You will need to arrange to collect your horse. Do you have access to transport or would you like us to arrange a quote for you?

I have my own transportPlease arrange a Quote for meOther
How long would you like to care for horse/s for?
Eg. 1 Month, 6 Months, 1 Year, Indefinitely or date
How many horses?
Do you have a particular horse/s in mind?*

YesNo
Name/s or horse/s
So we can select a suitable horse for you, please indicate your preferred type:

Mare in foal or with foal at footCompanion horse onlyUnhandled horseTrail riding horse or basic ridingEducated horseColt/Stallion (to be gelded)Mini or Shetland pony
Other preferred type?
What do you intend to do with horse/s?
Our horses have usually been neglected and desperately need frequent handling and daily love. Are you comfortable enough with horses to give this horse the attention it deserves and are you prepared to do so?

YesNo
Thank-You for helping us by helping our Rescued horses! We expect you to provide a safe and secure environment for our horse/s with adequate shade, feed and water but many costs are involved with looking after horses. Please indicate what costs and/or services you are prepared to cover.

AgistmentHayDentistFarrier/Barefoot trimmerHard feedGeldingTransportEmergency Vet CareOngoing/planned Vet CareTrainer/breakerOther
Will horse/s be kept at the same address as applicant above?*

YesNo
Address of horse/s

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
*Note - Where possible we will endeavour to inspect the property and meet the applicant in person.
Do you agree to keep communication lines open with MERCI and send regular updates to us via Facebook, email, phone or message?*

YesNo
Do you know of and have access to an Equine Vet?*

YesNo
Clinic Name
Preferred Vet Name

First NameLast Name
Vet Mobile Number
Do you have access to an Equine Dentist?*

YesNo
Clinic Name
Preferred Dentist Name

First NameLast Name
Dentist Mobile Number
Do you have access to a Farrier/Barefoot Trimmer?*

YesNo
Business Name
Preferred Farrier/Trimmer Name

First NameLast Name
Farrier/Trimmer Mobile Number
Do you need assistance with any other services?*

YesNo
Please mention what else you may need assistance with and we'll be in touch.
Anything Else we may need to know?
Please tell us how we can help!
If 'No' is selected for any of the Equines services boxes above is selected we will be in contact with you for recommendations.
*Note - We may carry out random checks with the preferred professionals above.
I agree to Terms outlined in this document*

YesNo
Signature*
Thank-you for using MERCI to Rehome or Rescue a horse in need!

We only Rehome under Contract and will monitor Horses that cross our path to ensure they can 'Live Care Free' their entire life.

The MERCI team xo
Thank-You for your interest, we'll be in touch.
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