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2. 
4. Equine or livestock owner information
6. Owners Name(s)*
   First and last names
8. Address*
10. As the owner, are you able to evacuate your horse or livestock without assistance?*
    -- Select One --YesNo
12. Animal information
14. What horses or livestock would you like to register?*
    Please list type of animal and how many you have
16. What is the size or weight of each registered animal?*
18. Animal disposition*
    Tell us about your animal(s) disposition. Such as, do they load and trailer well?
20. Special needs or safety concerns*
    If volunteers evacuate your animals, are there any special needs or safety concerns they should be aware of?
22. Where do you keep the animal(s)?*
    -- Select One --On owner's propertyAt someone else's property
24. If your animal(s) stay somewhere else, what is the address?
26. Is the property accessible by truck and trailer? *

    1. Yes
    2. No
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field