Satellites - Volunteer Satellite Center Application Form

Satellite Adoption Center

Satellite Training Center

First Name

Last Name

Address

Address2

City

State

Zip

Home Phone

Cell Phone

Name of Spouse

Do you have young children?

Ages

Total Area of Ranch (in acres)

Total pen size

Is your area zoned for equine?

Do you have fencing and shelter?

Is there running water?

Is your property free from junk & debris?

Do you live on the ranch full time?

Is there trailer access to the animal area?

Do you own a truck?

Make

Model

Do you own a trailer?

Length

# of axles

Picture upload:

As a Peaceful Valley Satellite Adoption Center Caregiver, I understand and accept the responsibilities as detailed in the Satellite Adoption Center Agreement.