Name
*
First Name
Last Name
Applicant’s Age
*
Email
*
Phone
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What is your household’s net annual income?
*
Will anyone else be helping you to pay for the care of your horse? If yes, please explain.
*
How much do you estimate it will cost per year to own your adopted horse? Please provide a breakdown of estimated expenses.
*
How many years have you been working with horses and in what capacity/capacities? Provide details, including disciplines and frequency of involvement.
*
Have you ever leased or owned a horse? If yes, provide details.
*
Do you have experience working with off-track Throughbreds?
*
How would you rate your riding ability?
*
What qualities are you looking for in your HART horse (e.g. age, color, sex, size, temperament)?
What style and level or riding do you wish to achieve?
Are you working with a trainer? If yes, who and how often?
*
Trainer's Contact Information
First Name
Last Name
Phone
(###)
###
####
Does your trainer have experience working with off-track Throughbreds or other green horses? If no, are you willing to find a trainer who does, if necessary?
*
Will there be anyone else riding the horse? If yes, explain their experience.
*
Are you considering a mare for breeding purposes? If yes, please list your experience with breeding and foaling.
*
Are you interested in a specific horse(s)?
*
What is your timeline for adopting?
*
If you have an unforeseen life event, what would be your plan for your adopted horse?
*
Please provide contact information for the facility at which the horse will reside:
*
Stabling Contact Information
First Name
Last Name
Phone
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
Do you live at this facility?
*
If you do live at the facility, what do you anticipate paying per month to care for the horse?
*
If you will be boarding, do you currently or have you boarded at this facility in the past? Please elaborate.
*
What is the monthly board fee? What does it cover?
*
Will your horse be kept primarily in a stall or on pasture?
*
What type of fencing surrounds the pastures and paddocks? Please list all materials.
*
How many times per day will your adopted horse be fed? Please explain.
*
Where will the hose be fed (e.g. stall or pasture)?
*
What type of grain and hay will the horse be fed? Are you willing to change to accommodate the horse if needed?
*
What is your planned vaccination and deworming schedule?
*
What is your planned farrier schedule?
*
Please provide the contact information for the veterinarian you intend to utilize.
*
Veterinarian Contact Information
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Email
Are you currently a client of this veterinary practice?
Please provide the contact information for the farrier you intend to utilize.
*
Farrier Contact Information
First Name
Last Name
Phone
*
(###)
###
####
Email
Are you currently a client?
Please provide a NON-FAMILY reference who is experienced with horses and is aware of your experience as well as the facility at which you intend to keep the horse.
Reference 1 Contact Information
*
First Name
Last Name
Phone
*
(###)
###
####
Email
Please provide a NON-FAMILY reference who is experienced with horses and is aware of your experience as well as the facility at which you intend to keep the horse.
Reference 2 Contact Information
*
First Name
Last Name
Phone
*
(###)
###
####
Email
How did you hear about our program?
*
Do you understand and agree to submitting written and visual updates on the adopted horse at three (3), six (6), and twelve (12) month intervals post adoption?
*
Are you familiar with HART’s return policies? Please note 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 an emergency.
*
By submitting this form you certify that the information provided is true and correct to the best of your knowledge.
*
