Horse Interested in Adopting

Name

First Name

Last Name

Address

City, State and Zip Code

Phone Number

Place of Employment

Best Time to Call

If you are applying to adopt an ex-racehorse, do you understand that this is a racehorse off the track, has likely had only racing training, and that the horse will need an experienced rider and someone capable of retraining him/her as a riding horse

YES

Please explain below your understanding of a racehorse's training and what you believe will be required in order to successfully transition the horse as a riding horse.

I understand the financial obligations to maintain a healthy horse and I am capable of doing so without sharing those financial obligations with another party through lease or otherwise being dependent on them.

YES

Please indicate what you intend to use your horse for (check all that apply.).

If Breeding, what purpose do you intend to breed this horse for?

Do you have hands on experience in caring for a broodmare and foaling?

YES

Please explain your breeding experience.

Where will the horse be stabled

Boarding Facility

My Farm

Name of Stable or Farm

Address of Stable or Farm

Contact Name

Contact Phone Number

(###)

###

####

Describe the type of fencing the horse will be turned out on. (Check all that apply)

Distance Between Posts

For strand wire on any post, please state the number of strands, what is the height of the fence and the distance between the posts.

What is the size of the turnout area? (Select one)

Under an acre

Under 2 acres

Under 5 acres

Under 10 acres

Over 10 acres

Is there a run-shelter

YES

What are the dimensions of the shelter and how many horses will share it?

Is the turn-out dirt or grass?

Dirt

Grass

Will the horse be pasture/field boarded or will it be on full board and have a stall?

Pasture

Full Board with stall

If stalled, how many hours a day will the horse be turned out verses in a stall?

When first introduced to other horses, the new horse must NOT be suddenly turned out with them. Is there a separate over fence paddock or pasture that can be used until the horse is acquainted with others?

YES

Rate your riding experience.

Advvanced

Intermediate

Beginner

Rate your horse care experience.

Advanced

Intermediate

Beginner

I have experience working with horses recently off the track.

YES

I will seek the guidance of an experienced trainer.

YES

If "NO" please explain.

Name and Phone number of your trainer. (Leave this blank if you do not have one).

** THIS MUST BE COMPLETED OR YOUR APPROVAL WILL NOT BE PROCESSED.** Contact is made with your Veterinarian YOU MUST call your veterinarian and advise them that you are putting them down as a reference and that you want to be approved to purchase a horse with us. You should tell them that we will be contacting them.

Veterinarian Name and Phone number,

Farrier Name and Phone number.

A Lifetime Conditional Bill of Sale will be required to be signed. If it is an ex-racehorse, the horse may never race again. Follow-up farm visits may be performed. Although you are allowed to sell, lease or transfer your Horse, the Lifetime Conditional Bill of Sale is for the lifetime of the horse and new owners are required to sign a form acknowledging the conditions of the Bill of Sale. The Bill of Sale also requires that Beyond The Roses Equine Rescue be provided with a right of first refusal.

Do you intend to transfer the ownership of this horse after retraining?

YES

Do you understand and agree to the conditions that will be in the Lifetime Conditional Bill of Sale?

YES

Have you ever sold a horse to a horse dealer that buys and sells at auctions or have you ever sold a horse through an auction?

YES

Is there any additional information you would like us to know about you when considering your application?

I acknowledge that inaccurate or false statements made on this Adoption Questionaire may void this sale at a later date. The information I am submitting is true and filling out the following boxes will act as my signature. I also acknowledge that my approval as an adopter is not guaranteed by completion of this form, that it is subject to Beyond The Roses Equine Rescue's sole discretion and that it may be withdrawn should the circumstances, upon which my approval was based, change. Please type your name below to acknowledge.

Date

YYYY

Thank you for applying to adopt a horse from Beyond The Roses Equine Rescue. We will be contacting you shortly. If you do not hear from us within 3 business days, please contact us.

Beyond The Roses Equine Rescue On-Line Application