Pre-Adoption Application
Name _________________________
Address _________________________
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Phone Number ________________home _____________work
Why do you want to adopt a rescued horse? ____________________
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What kind of experience have you had with horses? _____________
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Do you currently own a horse? _____yes _______no
Have you sold a horse in the last 3 years? _______yes ____no If yes, please list reason for sale __________________________________
Please describe the type of horse you are looking for (ie: age, sex, temperment, etc.) _______________________________________
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How will this horse be used? ________________________________
What is your experience/riding level? ________________________
Please list the names and experience level of all others who will be riding/handling this horse. __________________________________
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Please list 3 references from people who are familiar with your experience with horses, including names, addresses and phone numbers.
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Please list the name, address, and phone number of your farrier ___
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Please list the name, address and phone number of your current vet ______________________________________________________
Will the horse be on your property or boarded? ________________
If boarding, please complete the following information:
Name of facility _________________________________________
Address _______________________________________________
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Phone number with area code _______________________________
Barn manager and/or owners name __________________________
May we contact this facility in regards to your application? _______
If the horse is to be kept on your property please answer the following:
Size of barn __________ Number of stalls __________
Size of stalls __________ Number of acres used for pasture _______
Type of fencing _________ Run-in sheds available? __________
Number of hours of turnout per day horse will receive __________
How often will horse be fed/watered? ______________________
Would you agree to a preliminary site check of where the horse will be stabled? _______yes ____no If no, please explain ____________
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Many of the horses come to us from a variety of abuse/neglect situtaions. We are not always aware of the type or extent of this abuse and the horse may require considerable patience and gentle handling. Are you prepared to devote the time and have the skills necessary to help the horse work through these traumas? _________
If yes, please describe your abilities, experience and strengths in the areas of horse rehabilitation and training. ______________________
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Will you be working with a trainer? _____ If yes, please list name and phone number.
Will you be working with a riding instructor? ____ If yes, please list name and phone number.
Have you ever been issued a warning, citation, or conviction for humane violations? _____yes ____no If yes, please explain _______
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If the final adoption agreement is approved, you will be required to keep the horse safe and provide appropriate feed, clean water, shelter, regular wormings, regular farrier and vet care to include, but not limited to, annual immunizations and teeth floating. Do you agree to this requirment? ______yes ___no If no, please explain ___
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In the final adoption agreement we retain the right to unannounced and periodic checks on the condition of the horse and stable. Will you accept this condition? ___yes ___no If no, please explain _____
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Also in the final adoption agreement, in the intent to prevent the horse from being submitted to further abuse, we retain the right of co-ownership whereby we may unilaterally seize the horse if it is determined by our authorized agent(s) that the horse is being abused either mentally or physically. Do you agree to this condition? ___yes ___no If no, please explain ___________________
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In accordance with the stipulation of co-ownership, if the adopter cannot, or will not continue care of the adopted horse, the adopted horse MUST be returned to the rescue without exception and with the understanding that all monies/donations/adoption fees, etc. are NON-REFUNDABLE. Do you agree to this condition? ___yes ___no If no, please explain ________________________________
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I certify that i have read and understood all above information and questions and that all the information i have provided is correct and true.
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_________________________________ Date