Adoption Questionnaire
Personal Info
Full Name (Parent or guardian if rider is under 21 years old)
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Rider's Age
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Rider's height and weight
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Contact Info
Home Address
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City
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State
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ZIP
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Home Phone
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Cell Phone
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Work Phone
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Email
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Financial Info
Who is your employer?
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What is your occupation?
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Do you work full time, part time, or are you self-employed?
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If self-employed, please describe your profession
What is your household's annual income?
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Will there be anyone helping you pay for the care of the horse? If yes, please explain
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How much do you estimate it will cost per year to own your adopted horse? Please explain
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Horse Experience & History
What is your experience with horses?
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Have you ever owned a horse before?
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Yes
No
If you've owned a horse before, when was the last time that you owned one?
Do you currently own a horse?
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Yes
No
If you've owned a horse before, how many have you owned and what were their breeds?
Have you had a horse die under your ownership and/or care? If so, please explain the circumstances of the death
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What style of horse riding do you practice? How many years have you been riding for?
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What horse breeds have you handled and ridden?
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Do you have experience with training green horses? If so, please explain
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Have you ever trained an "off-the-track" thoroughbred? If so, did you receive help from a trainer or did you do it on your own?
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Have you ever sold a horse? If so, are you still in contact with the individual(s) that you sold the horse to?
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Are you considering a mare for breeding purposes?
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Yes
No
Do you have experience with breeding and foaling?
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Yes
No
How many mares have you bred and foaled?
You and Your Potential Adoption Horse
Why do you want to adopt an ex-racehorse?
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What qualities would you like to have in a horse? (Age, color, size, sex, temperament)
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What style and level of riding do you wish to achieve?
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What riding discipline is your primary focus?
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Are you willing to change your discipline goals to suit your adopted horse's needs?
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Yes
No
How often do you want to ride/drive your horse?
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How would you rate your riding ability?
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Beginner
Novice
Intermediate
Advanced
Expert
Do you have a trainer? If so, please provide their contact information
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Does your trainer have experience working with thoroughbreds? How many years?
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Will anyone else be riding the horse? If so, please explain their experience
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What would be your overall goal for the horse?
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If you have an unforeseen life event (job loss, illness, divorce, etc.), what would your plan be for the adopted horse?
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When would you like to adopt a horse?
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Is there a specific horse that you are interested in adopting? If so, please explain
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Boarding or Private Facility Info
Please provide the name, address, and phone number of the boarding facility where the horse will stay
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Who owns the facility?
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Do you live at the facility?
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Yes
No
Do you currently board at this facility, or have you in the past?
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Yes
No
Is there a monthly board fee for your facility? If so, what does it cost and what does it cover?
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If you do live at your facility, what do you anticipate paying per month to care for the horse?
How many horses are currently at the facility?
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Will the horse have a stall or a run-in? What are the exact dimensions?
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How many stalls are there in the barn?
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If your horse will be in a stall, how many hours a day do you plan to have them in the stall?
How often and how many hours per day will your horse be turned out?
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Who is responsible for turning out your horse?
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Does the facility have pasture/paddock turnouts? If so, how many acres?
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What type of fencing surrounds the pastures/paddocks? Please specify type of material, number of rails/strands, and height
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How many other horses will the horse be turned out with? Will mares and geldings be separate or mixed?
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Care & Feeding Info
What would be your feeding schedule for your horse?
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Who will be responsible for feeding your horse?
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Where will the horse be fed (stall, pasture, etc.)?
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If fed in a pasture, how will you ensure that the horse is receiving a proper and required amount of feed?
What type of grain and hay will the horse be fed?
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Based on your experience, how much grain and hay do you think that your horse will need per day?
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Will your horse have access to grass pasture?
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How often will you de-worm your adopted horse?
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What annual vaccinations will your horse receive?
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What is your planned farrier schedule?
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References
Please provide the name and contact info for the vet that has been to the facility where the horse will be kept (the vet office must have you or your boarding facility down as a current client, please specify who the current client is)
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Please provide the name and contact info for your farrier
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Provide the name and contact info of two non-family references that are experienced with horses and are aware of your horse experience and have been to the facility
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How did you hear about our program?
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Adoption Contract
Adoption Contract
Have you read our adoption contract and agree to the terms and rules governing adoptions from HART?
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Does the manager/owner of the facility in which the horse will kept understand that they do not have the right to refuse our coming onto their facility unannounced per the adoption contract to verify a horse's wellbeing, and if HART is not satisfied with the care of the horse we would use our right to reclaim said horse to our immediate care and control?
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Yes
No
Do you understand that our adoption agreement is a two-year commitment? (Adopters may not sell the adopted horse during that first year. If the adopter cannot or does not wish to continue to care for the adopted horse during that first year, HART must be notified, and the program will help find a solution, whether arrangements are made to transfer the adoption to another adopter approved by HART, the horse is placed on HART's website, or returned to the program)
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Yes
No
Do you understand and agree to submit both written and visual updates on the adopted horse three, six, and twelve months post-adoption? (All updates must include the horse's location, feeding info, how and what the horse has been doing, and clear, good quality body photos without tack or blanket)
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Yes
No
Do you understand that once all three updates have been submitted, the adopter is legally allowed to sell the adopted horse after the one-year commitment only on the condition that HART is given right of first refusal for either the original adoption price or the amount being offered for sale to the prospective new owner's? Also, HART is given full contact information prior to the sale for the new owner, and in addition that the horse's adoption contract is to remain with the horse until it dies?
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Yes
No
Do you understand and agree that the adopted horse is never, under any circumstances, to be sold at any auction, to a horse dealer, or to the Amish? (HART reserves the right to pursue legal action towards the adopter should this occur)
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Yes
No
Have you read HART's return policy? Please not that it can take some time for a horse to be returned to the program. Returns are taken in as space is available, although exceptions may apply in the case of emergency
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Yes
No
By typing your full name below, you certify that all of the information that you have provided on this application is true and correct to the best of your knowledge
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Today's Date
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Type parent or guardian full name here if minor signed above
Parent or guardian signature date
If you are human, leave this field blank.
Submit
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