Adoption Application 2024

Adoption Application
The undersigned acknowledges that this is only an application and does not convey any right to adoption of any Secretariat Center equine. The undersigned recognizes that the Secretariat Center has sole discretion in confirming or denying any adoption application and that, even if an adopter is approved for consideration, that approval does not convey a right to adopt a particular animal. The Secretariat Center has the right to approve or deny an applicant’s request to adopt any equine for any reason.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Phone Type*

MobileHomeWork
Secondary Phone Number

Area CodePhone Number
Phone Type

MobileHomeWork
Occupation and Employer*
If applicant is a minor, name, address, and phone number of legal guardian

12. Do you agree to participate in the Secretariat Center's Track for Life program, to submit by the specified due date a Track for Life form that will be provided by the Secretariat Center, and to submit good quality full body photos of your adopted horse without blankets or tack?*

YesNo
Do you further agree to notify the Secretariat Center of the sale of the horse and to acquire a Track for Life Agreement from the new owner to enable the horse to be tracked for life by the Secretariat Center?*

YesNo
13. How did you hear about our program?
By signing this form, prospective adopter grants the Secretariat Center, its agents and employees, the right to do Internet searches, physical facility visits, check with named references or use other information to determine whether to approve the signor. Once approved, an adopter is added to the Secretariat Center list and may request consideration for adoption fo any Secretariat Center equine. Approval does not convey any right to adopt a particular horse.
Applicant Signature*

Clear
(Draw your signature using your mouse, touch-screen device, or other input device.)
Date*

MonthDayYear
Date
If applicant is a minor, a parent or guardian must complete and submit the Consent Form, available at www.secretariatcenter.org/adopt.
Secretariat Center
4155 Walt Robertson Rd., Lexington, KY 40511
859-246-3080 (office)
www.secretariatcenter.org
adopt@secretariatcenter.org

Please submit your application filing fee of $25.The adoption application will not be submitted without this payment.

Application Filing Fee*

USDApplication Fee

Secretariat Center
4155 Walt Robertson Rd., Lexington, KY 40511
859-246-3080 (office)
www.secretariatcenter.org
adopt@secretariatcenter.org
Should be Empty:

Adoption Application