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Name
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2
Address
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Afghanistan
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eSwatini
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Tokelau
Tonga
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Tristan da Cunha
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Ukraine
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Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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3
What program is this for? ATFO Competition, TwT, Showcase or Foster Trainer
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4
Phone Number
Please enter a valid phone number.
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5
Email
example@example.com
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6
What is your approximate height and weight?
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7
Household Income (to allow us to know you are able to cover care costs of the selected horse) Verification may be required:
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8
If you have a Facebook or a website, link us here:
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9
Do you have a
General Liability Insurance policy?
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10
Which Division do you wish to be considered for?
Diamond requires significant FERAL EXPERIENCE and a facility able to hold feral horses. Platinum Division is for traditional trainers starting horses that have been handled:
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11
How many horses do you personally own?
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12
Years you have been training Horses?
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13
How Many Horses are in training at this time in your facility? Photos of each horse in your care must be emailed to equinerescue@live.com
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14
Do you own, lease or rent your facility?
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15
Do you have any equine related education or certification(s)?
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16
Have you ever been charged with neglect or cruelty to an animal?
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17
Have you done any training competitions or exhibitions before?
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18
Favored bit for starting horses undersaddle:
Why?
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19
Have you worked with feral horses before?
How many? What success did you have?
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20
Describe your typical feeding schedule, your typical feed brand and hay:
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21
Do you believe a solid groundwork foundation is essential before starting a horse under saddle? There is a ground work session in the ATFO that is judged.
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22
Describe the property the horse will be kept on (fence, acreage size, shelters)
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23
Vet Name and Number (We will contact your vet):
DO NOT SUBMIT WITHOUT THIS INFORMATION
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24
Equine Dentist Name and Number or email (if applicable):
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25
Peer Reference with number:
DO NOT SUBMIT WITHOUT THIS INFORMATION
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26
Client Reference with number:
DO NOT SUBMIT WITHOUT THIS INFORMATION
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27
Farrier Name and Number (Please let them know we will be calling)
DO NOT SUBMIT WITHOUT THIS INFORMATION
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28
Ground work, riding videos and fee are required to be considered. You agree to Email ALL required PHOTOS and Videos to: suzjohnson1973@hotmail.com and/or CC Equinerescue@live.com
YES
NO
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29
You understand and agree that you will be responsible for getting a HOP horse you select to train back to the main facility of Heart of Phoenix in Lesage, WV or to the ATFO EVENT in August, whether you end up able to compete or do not and that all costs are your responsiblity
TYPE I AGREE OR I DO NOT AGREE (If you do not agree, the application is not able to be approved)
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30
Heart of Phoenix Equine Rescue Humane Treatment Policy - Every horse shall, at all times, be treated humanely and with dignity, respect and compassion. Any participant using abusive or excessive training techniques or being inhumane to a HOP horse in his/her care (determined excessive or abusive by the board and officers of Heart of Phoenix) will always be removed from the contest and face possible legal action. Some techniques and devices are not allowed. Full disclosure is included in the trainer packet received in May, if a trainer is chosen. The following list includes but is not limited to examples of unacceptable behavior and training techniques: No horse appearing to be emaciated, drawn or injured may be exhibited. Use of or evidence of inhumane training techniques or methods: no training object may be used in an abusive manner, no excessive spurring and/or excessive jerking of reins. Any inhumane treatment that results in wounds. Additionally, Heart of Phoenix and the APPALACHIAN TRAINER FACE OFF promotes and encourages the following examples of sound, compassionate, and successful training techniques and handling methods: *Horse and trainer exhibit a solid relationship based on respect and understanding* A calm and willing partnership between horse and trainer is evident, regardless of the obstacle or environmental challenge during competition or training phases* Trainer maintains a credible level of dignity for the horse during all phases of training, competition and repositioning*Trainers seek and employ methods of horsemanship in order to promote and encourage the positive relationship between horse and trainer.*Horse must be on appropriate body weight and condition to compete based on the on sight vet assessment the days of the competition.BY SIGNING THIS AGREEMENT YOU ARE GIVING UP CERTAIN LEGALRIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OFINJURY, DEATH, OR PROPERTY DAMAGE, ARISING OUT OF YOUR RIDING, Training or working with a horse from Heart of Phoenix Equine Rescue. The USE OF any Heart of Phoenix Equine rescue HORSE AND/OR PARTICIPATION IN EQUINE ACTIVITIES during the Appalachian Trainer Face Off or any other Heart of Phoenix activity, INCLUDING INJURY, DEATH, ORPROPERTY DAMAGE, is not the responsibility of Heart of Phoenix Equine Rescue or its officers or volunteers or board members. READ THIS AGREEMENT CAREFULLY BEFORE SIGNING IT. YOURSIGNATURE INDICATES YOUR UNDERSTANDING OF AND AGREEMENT TOITS TERMS. By signing this form, I hereby acknowledge on behalf of myself that I have familiarized myself with the activities that I will be allowed to participate in, and that I do hereby acknowledge and agree that I will participate in these activities without restriction or limitation. I recognize the inherent risks involved in riding and working with horses, including but not limited to: Bites, kicks, abrasions or contusions from horses. Being thrown or bucked off by horses. Scratches or other injury from stalls or enclosures. Scratches or other injury from grooming tools and other equine equipment and tack. Allergic reactions to animals, hay, or other allergens. Tripping in holes or on materials or equipment. Slipping, falling, or otherwise being injured in the barn, in stalls, or on the grounds, which can be slippery, muddy, wet, or contain or present other hazards. Through my signature below, I certify that I have read and understand the Heart of Phoenix Equine Rescue Humane Treatment policy, and agree to abide by these principles as a participant in Appalachian Trainer Face OFF. I also understand that should a determination be made (as outlined above) that I have violated any part of this policy, I may lose the privilege of competing at HOP / ATF events. I also recognize that that I may be, at the sole discretion of the panel of Heart of Phoenix and / or their affiliates for the ATFO, disqualified for failure to comply with any portion of these standards or the standards includes in the packet the day horses are picked up.
Sign if you agree
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