FOSTER CARE & TRAINING AGREEMENT FORM Forever Branded Programs: Foster Care/Training Agreement Pick-Up Date MM slash DD slash YYYY Program Participant Name(Required) First Last Program Participant Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Program Participant Email(Required) Program Participant PhoneWhat program are these animals being picked up for?(Required) Branded Partnerships Branded Adoption Center *Branded Adoption Center operators are allowed to pick up up to 20 animals at one time, provided they have not exceeded their allowable maximum number of untitled animals on the property. ** Branded Partnerships trainers are allowed to pick up to 4 animals at one time, provided they have not exceeded their allowable maximum number of untitled animals on the property.BLM Official Name(Required) First Last BLM Official Email(Required) By providing your email address, you will receive a PDF copy of this form for your records as well as a confirmation email.This document allows the Forever Branded Program participant named above to care for the untitled wild horses or burros described below until that animal is adopted, purchased, or returned to the Bureau of Land Management in accordance with the rules and regulations of the governing Forever Branded program. The named individual above, Forever Branded, and the Bureau of Land Management for the United States of America for and in consideration of the mutual benefits hereunder, and in accordance with Public Law 92-195, Sec. 3, do enter into this foster care/training agreement for the protection and welfare of the wild horses and/or burros listed below.Animal 1 InfoAnimal 1: FreezemarkAnimal 1: SignalmentAnimal 1: Species Horse Burro Animal 1: BLM Facility LocationAnimal 2 InfoAnimal 2: FreezemarkAnimal 2: SignalmentAnimal 2: Species Horse Burro Animal 2: BLM Facility LocationAnimal 3 InfoAnimal 3: FreezemarkAnimal 3: SignalmentAnimal 3: Species Horse Burro Animal 3: BLM Facility LocationAnimal 4 InfoAnimal 4: FreezemarkAnimal 4: SignalmentAnimal 4: Species Horse Burro Animal 4: BLM Facility LocationDo you have more animals to add to this form? Yes No Animal 5 InfoAnimal 5: FreezemarkAnimal 5: SignalmentAnimal 5: Species Horse Burro Animal 5: BLM Facility LocationAnimal 6 InfoAnimal 6: FreezemarkAnimal 6: SignalmentAnimal 6: Species Horse Burro Animal 6: BLM Facility LocationAnimal 7 InfoAnimal 7: FreezemarkAnimal 7: SignalmentAnimal 7: Species Horse Burro Animal 7: BLM Facility LocationAnimal 8 InfoAnimal 8: FreezemarkAnimal 8: SignalmentAnimal 8: Species Horse Burro Animal 8: BLM Facility LocationAnimal 9 InfoAnimal 9: FreezemarkAnimal 9: SignalmentAnimal 9: Species Horse Burro Animal 9: BLM Facility LocationAnimal 10 InfoAnimal 10: FreezemarkAnimal 10: SignalmentAnimal 10: Species Horse Burro Animal 10: BLM Facility LocationAnimal 11 InfoAnimal 11: FreezemarkAnimal 11: SignalmentAnimal 11: Species Horse Burro Animal 11: BLM Facility LocationDo you have more animals to add to this form? Yes No Animal 12 InfoAnimal 12: FreezemarkAnimal 12: SignalmentAnimal 12: Species Horse Burro Animal 12: BLM Facility LocationAnimal 13 InfoAnimal 13: FreezemarkAnimal 13: SignalmentAnimal 13: Species Horse Burro Animal 13: BLM Facility LocationAnimal 14 InfoAnimal 14: FreezemarkAnimal 14: SignalmentAnimal 14: Species Horse Burro Animal 14: BLM Facility LocationAnimal 15 InfoAnimal 15: FreezemarkAnimal 15: SignalmentAnimal 15: Species Horse Burro Animal 15: BLM Facility LocationDo you have more animals to add to this form? Yes No Animal 16 InfoAnimal 16: FreezemarkAnimal 16: SignalmentAnimal 16: Species Horse Burro Animal 16: BLM Facility LocationAnimal 17 InfoAnimal 17: FreezemarkAnimal 17: SignalmentAnimal 17: Species Horse Burro Animal 17: BLM Facility LocationAnimal 18 InfoAnimal 18: FreezemarkAnimal 18: SignalmentAnimal 18: Species Horse Burro Animal 18: BLM Facility LocationAnimal 19 InfoAnimal 19: FreezemarkAnimal 19: SignalmentAnimal 19: Species Horse Burro Animal 19: BLM Facility LocationAnimal 20 InfoAnimal 20: FreezemarkAnimal 20: SignalmentAnimal 20: Species Horse Burro Animal 20: BLM Facility LocationDo you have more animals to add to this form? Yes No Animal 21 InfoAnimal 21: FreezemarkAnimal 21: SignalmentAnimal 21: Species Horse Burro Animal 21: BLM Facility LocationAnimal 22 InfoAnimal 22: FreezemarkAnimal 22: SignalmentAnimal 22: Species Horse Burro Animal 22: BLM Facility LocationAnimal 23 InfoAnimal 23: FreezemarkAnimal 23: SignalmentAnimal 23: Species Horse Burro Animal 23: BLM Facility LocationAnimal 24 InfoAnimal 24: FreezemarkAnimal 24: SignalmentAnimal 24: Species Horse Burro Animal 24: BLM Facility LocationAnimal 25 InfoAnimal 25: FreezemarkAnimal 25: SignalmentAnimal 25: Species Horse Burro Animal 25: BLM Facility LocationDo you have more animals to add to this form? Yes No Animal 26 InfoAnimal 26: FreezemarkAnimal 26: SignalmentAnimal 26: Species Horse Burro Animal 26: BLM Facility LocationAnimal 27 InfoAnimal 27: FreezemarkAnimal 27: SignalmentAnimal 27: Species Horse Burro Animal 27: BLM Facility LocationAnimal 28 InfoAnimal 28: FreezemarkAnimal 28: SignalmentAnimal 28: Species Horse Burro Animal 28: BLM Facility LocationAnimal 29 InfoAnimal 29: FreezemarkAnimal 29: SignalmentAnimal 29: Species Horse Burro Animal 29: BLM Facility LocationAnimal 30 InfoAnimal 30: FreezemarkAnimal 30: SignalmentAnimal 30: Species Horse Burro Animal 30: BLM Facility Location
