SCEA Adoption / Foster Application

SCEA Adoption / Foster Application
Name:

First Name Last Name
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email:
example@example.com
Phone Number:
I am applying to:

Adopt Foster
Name of animal in which you are interested:
Existing Facilities

These questions relate to where the animal will be stabled if different from above address.
Name of Facility or Owner of Property

First Name Last Name
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Describe barn and size of pasture area:
Will the animal have 24-hour access to a covered shelter?

Yes No
If the animal does not have 24-hour access to a covered shelter, please explain:
Type of fencing:

Electric High tensile wire Board Barbed
Water source:

Well City
Will equine have 24-hour access to water?

Yes No
What is the source of feed?

Hay only Pasture only Combination hay and pasture
How many other equine are stabled at this location?
If there are other animals at this location, are they regularly wormed and vaccinated?

Yes No
Are you willing to allow SCEA personnel to inspect the animal and its premises at any time, and unannounced, during foster care or until final adoption?

Yes No
If equine is to be stabled at a boarding farm or any facility other than your own, please describe. Include name of the facility, barn managers name and phone number, and any other information you believe necessary:
References
Who will be the animals veterinarian?
Veterinarian’s Phone Number:
Who will be the hoof care provider?
Hoof Care Provider’s Phone Number:
Name of person, unrelated to you, who is familiar with your knowledge and care of animals:
Reference’s Phone Number:
Your Background
Describe your experience with animal care, especially equine:
Have you ever been charged with, or convicted of, animal neglect or abuse?

Yes No
Are you willing to submit to a background check?

Yes No
Acknowledgement
By submitting this application, I certify that I have answered the above questions truthfully. I understand I am applying to adopt/foster an equine from Second Chance Equine Association (SCEA). I understand that I must complete the application procedure and have the equine property or boarding facility inspected and approved before being allowed to adopt/foster an equine from SCEA. I understand that I may not be able to adopt/foster the equine I am interested in for various reasons. In addition, I understand that SCEA may perform a background check to verify my personal information as well as check for any criminal convictions. I understand that if my application is approved that I will be required to sign a Foster or Adoption Contract.
Should be Empty:

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SCEA Adoption / Foster Application

Existing Facilities

References

Your Background

Acknowledgement