Second Chance Thoroughbreds, Inc. | Known for their ...



Thoroughbred Adoption Questionnaire4850130549275All persons interested in adopting a horse from Second Chance Thoroughbreds, Inc. are required to provide the following information. The completed Questionnaire may be emailed, faxed or mailed to:Second Chance Thoroughbreds, Inc.121 Dawson Hill RoadSpencer, NY 14883sctottbs@ ? Phone Number: (607) 589-7669The following must be included with the Adoption Questionnaire:Residence verification (copy of utility or other bill)Photos of facility to be used for housing Adopted Horse, including: fencing, gates, pasture, barn/shelter, adopted horse’s stall, other horses owned by the applicant or housed on the property. If details are unclear, additional photos may be requested. Name of phone number of a veterinarian that has seen the facility where the Adopted Horse will live. All Adopters must be 21 or older and financially and physically able to provide proper care to the Adopted Horse. Questions regarding this Adoption Questionnaire may be directed to: scottbs@Application and Terms for Adoption of ThoroughbredAdopter’s Background InformationName:Age: 21-25 25-30 31-40 41-50 51-60 61+Address:City:State:Zip:Home Phone:Cell Phone:Height:Email:Weight:Where are you currently employed?What is your household’s annual income? Under $25,000 $25,000 - $35,000 $36,000 - $50,000 $51,000 - $75,000 $76,000 - $100,000 $100,000 & UpWill anyone help you pay for the care of the Adopted Horse? If yes, explain why.Do you understand that it will cost $2,000 - $3,000 per year to care for your Adopted Horse?Adopter’s Horse Experience and History(Attach additional sheets if necessary)What is your experience with horses?Have you ever owned a horse? Do you own a horse currently? If yes, how many do you currently own?Have you sold or given away a horse in the past five years? If yes, please explain:Have you ever worked with or owned an off-the-track Thoroughbred? If yes, please describe your experience:What breeds have you handled or ridden?Have you worked with young/green horses? If yes, please describe:What style of riding do you practice? For how many years?Are you considering adopting a mare for breeding purposes? If yes, what is your experience with breeding and foaling?You and Your Potential Adopted HorseWhy do you want to adopt an ex-racehorse?What is the intended use for the Adopted Horse?Is there a specific horse in Second Chance Thoroughbreds, Inc.’s program you are interested in? If yes, which horse?What qualities would you like to have in your Adopted Horse (size, age, sex, color)?How would you rate your riding ability? Beginner Intermediate AdvancedWhat style and level of riding do you want to achieve?How often do you want to ride your horse?Do you have a trainer? If yes, please give name and contact information:Does the trainer have Thoroughbred experience? If yes, how many years?Will anyone else be riding your Adopted Horse? If yes, explain their experience:What would be your overall goal for the Adopted Horse?When would you like to adopt?Stabling InformationWhat is the name, address and phone number of the farm or stable where the Adopted Horse will stay?Who owns the facility?Do you live at the facility?Have you had horses at this facility before?Will the manager/owner of the stable be willing to sign our “Boarding Agreement”? This form states that the facility will contact Second Chance Thoroughbreds, Inc. if you are late paying a bill, or are not properly caring for the Adopted Horse.If you DO NOT live at the facility, what is the monthly boarding fee? What does it cover?If you DO live at the facility, what do you anticipate paying per month to care for the Adopted Horse?How many horses are currently at the facility?Does the facility have pasture? If yes, please describe the size and surface (1.e. 2 acre grass; ? acre dry lot)What type of fencing surrounds the pasture? Explain in detail (type of material, number of rails/strands, height)How many other horses will the Adopted Horse be turned out with?Does the pasture have any type of shelter? If yes, please describe.Will the Adopted Horse have a designated stall? If yes, what size is the stall?Will the Adopted Horse be primarily stall kept or turned out?If stall kept, how many hours per day will the Adopted Horse be turned out?Feeding and Daily CareHow often will the Adopted Horse be fed per day?Who will be feeding the Adopted Horse?What type of feed will you be using?Will you be feeding hay? If yes, what kind, how often and how much per day?Are you, or the boarding facility, willing to feed the 8-12 pounds of grain and from 1/4 to 1/2 bale daily of quality hay necessary to maintain a Thoroughbred?If fed with other horses, how will you ensure the Adopted Horse is getting the amount of feed required?Physical Care of Your Adopted HorsePlease provide your farrier’s name and contact information:How often will the farrier see the Adopted Horse?How often will you worm your Adopted Horse?Please provide your veterinarian’s name and contact information. (The vet office must have you or your boarding facility listed as a current client):ReferencesTwo NON-FAMILY references that are experienced with horses and are aware of your horse experience and facility are required. Please provide name, and day and evening phone numbers:Notice to AdopterIf within two year’s of the adoption date, the Adopted Horse is found to be mistreated or underfed, or if the Adoted Horse’s board bill should be unpaid, the horse must be returned to Second Chance Thoroughbreds, Inc. immediately. Second Chance Thoroughbreds, Inc. will arrange for pick-up of the Adopted Horse and will pay one month’s boarding bill only. Determination of the horse’s condition will be made by Second Chance Thoroughbreds, Inc. only.SignatureI, _____________________________________, certify that the information I have provided in this application is true and correct. ___________________________________________________________Applicant Signature___________________________________________________________Applicant Print Name___________________________________________________________Date ................
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