On Line Loan Scheme Application Form
SOUTH WEST EQUINE PROTECTION
   
Loan Scheme - Application Form

Please complete All sections
All information will be held by SWEP in strict confidence and will not be disclosed to outside parties.


                                                               About You
Full Name
Age: Under / over 18 yrs      
Address Line 1
Address Line 2
Town
County
Postcode
Telephone no.
Alternative Telephone no.
E-mail address


Do you currently own or keep a horse or pony ? State Yes/No
If yes please say how many and how long you have had them (also brief details e.g. T/B, child's riding pony etc)
Have you previously owned or kept a horse or pony? State Yes/No
If yes please say how many and how long you had them (also brief details e.g. T/B, child's riding pony etc)


Accomodation
Where would the horse or pony be kept ?
If you do not own the field/land please give name and address of landowner.
Number of acres:
Number of equines sharing land :
Does the land have boundaries of:
Shelter
Water Supply: Does your land have -
What arrangements would you make to attend a horse/pony if you are away (holidays etc)
Please give name and address of the veterinary practice you use or would use.
Please give name and address of the farrier you use or would use.
Please confirm that you are prepared to accept both announced and unannounced inspections by a SWEP representative.
Loan Horse / Pony
Will the loan horse / pony be primarily a companion animal ?
If no, please state other activities you would like to carry out (e.g. riding pony, driving etc.)
Please confirm that you will rug a horse or pony in winter if needed
Is there any other information you would like to give or comments you would like to make ?


Thank you for completing the form.

Please be aware that in submitting this form you confirm that you understand and accept that

All SWEP horses / ponies :
1. are on loan and remain SWEP's property.
2. may not be sold, loaned or given away.
3. may not be destroyed without first contacting SWEP
(except in emergency situations, and a veterinary certificate will be required at a later date).
4. shall not be used for breeding purposes

Click the "Send Details " button below to send the information to SWEP. The "Start Again" button will clear the form.
  
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South West Equine Protection
2 Tor Royal Bungalows
Princetown, Yelverton
Devon
PL20 6SL