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HELPAHORSE RESCUE

ADOPTION APPLICATION

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BELOW IS A COPY OF OUR ADOPTION APPLICATION..IF INTERESTED PLEASE COPY THE APPLICATION AND PRINT IT OFF AND MAIL IT TO US ...OR EMAIL OR FAX IT TO US....



  Help A Horse
  2798  Raven Rock Road
  Ararat, Va 24053
  276-251-5624  HOME
  336-710-4026     CELL
  775-244-4957  FAX
 
 
 
ADOPTION APPLICATION
 
 
THE HORSE'S NAME YOU ARE INTERESTED IN ? 
_________________________________________________
Your full name ______________________________________
phone number________________________________________
mailing address_______________________________________
                        _______________________________________
Is the above address where the horse will be kept ______if not please list address  ________________________________
                                    ________________________________
 
nearest relative _________________________________
phone            __________________________________
mailing address _________________________________
                         _________________________________
your employer_______________________________________
phone____________________________________
mailing address_______________________________________
                        _______________________________________
how long have you been working there?__________________
your vet name________________________________________
phone   ________________________________________
mailing address_______________________________________
                        _______________________________________
how long have you used this vet? _______________________
farriers' name ___________________________________
phone_____________________________________________
mailing address_____________________________________
                        ______________________________________
how long have you used this farrier______________________
please list two people who can give a refrence for you on your ability to care for a horse !
name________________________________________
phone______________________________________
mailing address_________________________________
                        _________________________________
name____________________________________________
phone__________________________________________
mailing address__________________________________
please tell me about all your experience with caring for and owning horses, please list training exp ,rehabbing exp etc...anything you would like me to know about you !______
____________________________________________________
____________________________________________________
____________________________________________________
_____________________________________________________
_____________________________________________________
use back of contract if you need more room!
Do you have good safe shelter for a horse ? Please describe
___________________________________________________
____________________________________________________
what type of fencing do you have ?______________________
             PLEASE READ ALL ADOPTION REQUIREMENTS AND REGULATIONS ...PLEASE PUT YOUR INITIALS WHERE INDICATED ! WE WILL REVIEW THIS APPLICATION AND CHECK ALL YOR REFRENCES ! YOU WILL BE NOTIFIED WHEN  WE ARE DONE! FILLING OUT THE APPLICATION AND SUBMITTING IT DOES NOT MEAN ACCEPTANCE!
 
1- We retain ownership of the horse for the first year that the horse is in your custody ! After the trial  year is up and every thing meets our satisfaction we will sign ownership over to you!
                                        please initial _________
 
2- During the first year we must be notified to when and where the horse is moved...we must know the horses whereabouts at all times !
                                        please initial__________
 
3- The animal can not be sold during the trial year !
 
                                        please initial ___________
4- The adopter is responsible for all upkeep of the horse while in their care , this includes vaccinations, deworming,farrier care , good feeding program , provide fresh water and needed supplements !
 
                                     please initial _______________
 
5- If the horse were to die or need to be put down while in in the adopters care , they are responsible for the cost of putting the animal down and disposial of the body !We must be notified before any actions are taken to put the horse down ...in the event of unnessary suffering and pain for the horse if a licensed vet decides it is best to put the animal down I require that I have written proof from your vet to the reason why. You are required to keep me notified the minute that an life threatening situation is to occur with the horse in question...failure to notify me can result in breech of contract and land you in court for failure to comply !
                                     please initial________________
6- We reserve the right to come to your property and check on the well being of the horse !
                                 please initial____________________
7-You must provide pictures every 4 months of the horse you can mail them to us...
 close up pictures  of ..front shot , rear shot, side view and please include copies of all the horses health records , farrier records etc....
                                 please initial________________
8- if at any time the adopter can not provide for the horse they must surrender the animal to us , the adopter is responsible for notifying us ! The adopter is responsible in event of surrendering the horse for the transportation of the animal back to our farm if possible!
                                  please initial _________________
9- mares can not be bred during the trial year if they are the resulting foal is the property of TRIPLE B RESCUE!
                                  please initial_________________
10- The adopter understands the horse is adopted AS IS we are not responsible for any damage , death , injury caused by the horse to anyone !
          sign full name_____________________date________
11- ALL out of state adoptions , or special cases may require certain TERM or RULES other than what may be listed in this contract!
                            special conditions and terms
_____________________________________________________
______________________________________________________
_____________________________________________________
______________________________________________________
_____________________________________________________
 
                                       please initial_______________
 
BY SIGNING THE APPLICANT IS AGREEING WITH AND FULLY UNDERSTANDS THE RULES & BINDING REGULATIONS OF THIS CONTRACT ! THE APPLICANT IS GIVEING HELPAHORSE RESCUE THE RIGHT TO CHECK ANY AND  ALL REFRENCES WHEN EVER THEY SEE FIT!
 
APPLICANTS SIG _______________________DATE_______
 
WITNESS_______________________________DATE_______