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Add To Our Resource Database:
Help horses at risk or in transition today.
Are you willing to allow UHC to provide this information on our website and searchable database?
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Name of Organization:
*
Primary Contact Name: (Individual completing this form.)
First
Last
Primary Contact's Position within the Organization:
Primary Contact's Phone Number:
This number will not be listed, and is only utilized should UHC need to follow up on any information on this form.
Primary Contact's E-mail:
Organization's EIN#: (If applicable.)
Organization's Address:
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
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Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
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Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
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Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Macedonia
Madagascar
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Malaysia
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Mali
Malta
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Mayotte
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Nigeria
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North Korea
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Norway
Oman
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Palestine, State of
Panama
Papua New Guinea
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Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Samoa
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Serbia
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Singapore
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Slovakia
Slovenia
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Somalia
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South Georgia
South Korea
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Spain
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Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
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Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
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Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Organization's General Public Phone Number:
Organization's General Public E-Mail:
Organizations Website: (If you would like it listed on the database.)
Organizations Facebook: (If you would like it listed on the database.)
What type of organization would you best describe yourself as?
Non Profit
Municipal Organization
For Profit
Industry Organization
Horse Council
Extension Group
Does your organization provide services on a National level or Local/Regional level?
National Level
Local Level
GFAS (Global Federation of Animal Sanctuaries) Verified?
No
Yes
Is your organization currently verified by GFAS (Global Federation of Animal Sanctuaries) *This information will be publicly listed in the database.
GFAS (Global Federation of Animal Sanctuaries) Accredited
No
Yes
Is your organization currently accredited by GFAS (Global Federation of Animal Sanctuaries) *This information will be publicly listed in the database.
TAA (Thoroughbred Aftercare Alliance) Accredited
No
Yes
Is your organization currently accredited by TAA (Thoroughbred Aftercare Alliance) *This information will be publicly listed in the database.
TCA (Thoroughbred Charities of America) Accredited
No
Yes
Is your organization currently accredited by TCA (Thoroughbred Charities of America)? *This information will be publicly listed in the database.
STA (Standardbred Transition Alliance) Accredited
No
Yes
Is your organization currently accredited by STA (Standardbred Transition Alliance)? *This information will be publicly listed in the database.
The Right Horse Initiative Adoption/Industry Partner
No
Yes
Is your organization currently a The Right Horse Initiative Industry or Adoption Partner? This does not include Warm Up Ring members. *This information will be publicly listed in the database.
United Horse Coalition Member
No
Yes
Is your organization currently a United Horse Coalition Member? *This information will be publicly listed in the database.
EWDC (Equine Welfare Data Collective) Survey Participant
No
Yes
Is your organization a current Equine Welfare Data Collective Survey Participant? *This information will be publicly listed in the database. If you would like it to remain anonymous, please check "no."
A Home For Every Horse Member
No
Yes
Is your organization currently A Home For Every Horse Member? *This information will be publicly listed in the database.
Equus Guardian
No
Yes
Is your organization currently an Equus Guardian? *This information will be publicly listed in the database.
Homes for Horses Coalition Member
No
Yes
Is your organization currently a Homes for Horses Coalition Member? *This information will be publicly listed in the database.
Does your organization take legal custody of Equines?
Yes
No
Does your organization fulfill owner requests to surrender their equine into your custody?
Yes
No or Not Applicable
Under special circumstances
Does your organization allow adoptions outside of your immediate area?
No or Not Applicable
only if less than 50 miles from our organization
only if less than 100 miles from our organization
only if less than 200 miles from our organization
only if less than 300 miles form our organization
only if less than 400 miles from our organization
only if less than 500 miles from our organization
no limit on radius of area we adopt to
Is your organization primarily a breed specific organization? (ie Thoroughbreds, Quarterhorses, Arabians, etc)
No or Not Applicable
Thoroughbreds
Quarterhorses
Standardbreds
Mustangs
Arabians
Gaited Breeds
Donkeys and or Mini Donkeys
Draft Breeds
Other
Does your organization provide hay or feed assistance to the public?
Yes
No
Does your organization provide castration services or financial assistance for castrations to the general public?
Yes
No
Does your organization provide veterinary services, or financial assistance for veterinary services for owners in need?
Yes
No
Does your organization provide microchip services, or financial assistance for micro-chipping to owners in need?
Yes
No
Does your organization provide euthanasia services, or financial assistance for humane euthanasia to owners in need?
Yes
No
Does your organization provide equine disposal services, or financial assistance for equine disposal services to owners in need?
Yes
No
Does your organization provide any type of equine behavioral training, or financial assistance for equine behavioral training services to owners in need?
Yes
No
Does your organization provide equine transportation services, or financial assistance for equine transportation services?
Yes
No
Does your organization provide direct placement services? (Marketing, owner to owner re-homing, hosting classifieds, etc)
Yes
No
Does your organization provide Law Enforcement Services?
Yes
No
Does your organization provide any type of disaster assistance services?
Yes
No
Does your organization offer Large Animal Technical Rescue?
Yes
No
Does your organization provide general grant funding opportunities?
Yes
No
Does your organization provide any other type of assistance options other than those listed on this form? (If yes, please list in "other")
No
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