Donate an Equine


 
Donation Agreement

All equines donated to Indian Creek Sanctuary are donated without any restrictions pertaining to their use. Generally, following their donation, the equine is examined to determined what, if any, rehabilitative treatment is required. Following any treatments deemed necessary the equine is put up for adoption.

Indian Creek Sanctuary may, in its discretion, elect to adopt selected equine to third parties will all the proceeds from such adoption to be used by Indian Creek Sanctuary for financing its purposes.

If an equine is pregnant at the time of its donation, any resulting off spring is the property of Indian Creek Sanctuary.

Donors acknowledge that euthanasia of an equine by Indian Creek Sanctuary may be used as a last resort depending on age, health and/or over all condition of equine.

Indian Creek Sanctuary is exempt from Federal Income Tax under section 510(a) of the Internal Revenue code as an organization described in section of 510(c)(3) of the Internal Revenue code. Consequently, you may wish to consult your tax consultant regarding the deductibility of your donation to Indian Creek Sanctuary.

Upon receipt of your donation, Indian Creek Sanctuary agrees, subject to the foregoing, to provide for the boarding and health care of the equine. Indian Creek Sanctuary further agrees to adhere to all relevant federal and Michigan laws pertaining to animal welfare.

No equine will be accepted for donation by Indian Creek Sanctuary without receipt of this fully completed donation agreement form. The equine's registration papers, medical history, and other pertinent history, if any, should accompany it at the time of the donation. Donors who import from out of state must meet import requirements: Negative Coggins and Health Certificate.

By signing this agreement you understand and agree to these terms and conditions.

Please use one form per equine.

Please be advised this information is to help us with any rehabilitation that may be needed for the said equine. Please be honest with your answers and feel free to add any additional information that you feel will help us with the rehabilitation and placement of this equine.

Owner Information

Your name
Your Email address
Your Address
City, State and Zip
Home Phone Number
Work Phone Number

Equines Information

Equines Name
Breed
Approximate Age
Gender
Tattoos
Registration Number
Color
Height (hh)
   
Current Veterinarian
Clinic Name
Phone Number
   
Current on vaccinations
Date of last vaccination
What vaccinations were used
Date of last Coggins
   
Currently deworming
If yes, explain program used
   
Any Medical Conditions
If yes, please explain
   
Ever been lame
If yes, please explain
   
Any dental work done
If yes, please explain
   
Any prescribed Medications
If yes, please explain
   
Name of Blacksmith
Date of last trimming
Ever worn shoes
If yes, please explain
   
Type of feed
Amount of feed
AM and/or PM
Any supplements
Salt or Mineral Blocks used
   
Any vices (crib, bite, etc)
If yes, please explain
   
Bad ground manners
If yes, please explain
   
Can equine be ridden
Please explain
   
Any riding habits
Please explain
   
Are you able to keep animal until we can find adoption?
   
How did you find Indian Creek Sanctuary?
   
Are you able to give a donation at the time you surrender your animal to aid in its care, feed and housing?
   
Are you able to donate any supplies you have for the animal (feed, brushes, saddle, tack, blankets etc etc). If yes, please list supplies.
   

Please tell us why you want to donate your equine:


Please describe in detail anything else we should know:

I hereby certify that I am the owner or authorized agent for the owners of the equine described above and that I give Indian Creek Sanctuary authority to transfer ownership of the equine and/or to practice euthanasia at anytime and in what ever manner Indian Creek Sanctuary may deem appropriate. I hereby remise, release and forever quit-calm unto Indian Creek Sanctuary, its employees, successors and assigns, any and all actions and manner of actions, causes of actions, debts, dues, claims and demands, both in law and in equity, which I have either now or in the future against Indian Creek Sanctuary or its transfer of ownership of the equine to Indian Creek Sanctuary and Indian Creek Sanctuary subsequent treatment, transfer of ownership or euthanasia of said equine.

 
Owner/Agents Signature
Date

We will contact you within 72 of your submission.