H.O.P.E. Acres Adoption Application

Adoption Application
Name*

First NameLast Name
Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone (Cell)*

Area CodePhone Number
Phone (Home)

Area CodePhone Number
Email*
example@example.com
How did you hear about us?
1. Is there a specific horse or horses that you are interested in adopting?
2. Have you previously owned a horse? If so, when? Did you board or directly care for your horse?
3. What is your level of horse experience (beginner, intermediate, or advanced)? Describe in detail (i.e. how did you learn to ride? Did you take lessons from a professional trainer? Have you participated in clinics?)
4. Do you have a breed or age preference?
5. Would you adopt a horse with physical limitations (i.e. no jumping; companion only; light trail riding)?
6. Describe the activities you plan to do with the horse (pleasure riding; companion to another horse only; showing).
7. What is your riding style (English, Western, both, other)?
8. Where will you keep the horse? Describe shelter and turnout.
9. Who will ride the horse (adult, teen, child)? What is their level of experience?
10. Do you have a horse trailer or access to a horse trailer?
11. Who is your equine veterinarian?*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
12. Your farrier?*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
13. Please provide two references (non-related) who can verify your ability to provide proper care for the horse if we have any further questions.
Reference #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Reference #2*

First NameLast Name
Phone Number*

Area CodePhone Number

Adoption Program Requirements
GENERAL RULES

If approved for adoption, the adopter agrees to the following:

Adopted horses must NEVER be neglected, abandoned, or inhumanely treated. Adopters must provide regular farrier and veterinary care, bi-annual vaccinations, medication as needed, a 6-8 week de-worming program as recommended by a licensed veterinarian, proper nutrition and exercise, and ample pasture for grazing.

Adopters will have no charges or convictions of inhumane treatment to animals.

The adopter agrees that the horse cannot be sold, traded, leased, or given away* or used for any commercial purpose (including breeding). The horse(s) must never be sent to an auction.

Horses are herd animals and must never be kept alone; therefore, H.O.P.E. Acres Rescue requires at least one other equine for company (donkey, miniature horse, pony, or horse) at the new adoptive home.

H.O.P.E. Acres Rescue reserves the right to provide life long follow-ups to adoptions. With prior notification, H.O.P.E. Acres Rescue may request a visit at different intervals each year. For first-time horse owners, an initial follow-up visit will occur within the first two months of adoption.

The adopter is responsible for all expenses incurred for horse care; there are no reimbursements from H.O.P.E. Acres Rescue.
I agree to all of the above GENERAL RULES.*

I agree
In the event the adopted horse is no longer physically or medically able to handle riding or if the animal presents major medical issues are you prepared and committed to continue providing a safe, nurturing and loving home for them?*

I agree
*Under NO circumstances shall the horse(s) be transferred to new ownership without the written consent and approved application of said horse(s) by H.O.P.E. Acres Rescue. In the event that I cannot keep the horse(s), FOR ANY REASON, I agree to notify H.O.P.E. Acres Rescue immediately and make arrangements to surrender the horse(s) back to H.O.P.E. Acres Rescue.*

I agree
I affirm that:*

I have NEVER been charged or convicted of animal cruelty, nor has any member of my household.I or a member of my household HAS been charged or convicted of animal cruelty.
HORSE CARE

If approved for adoption, the adopter agrees to the following:

The adopter will provide nutritious amounts of food and water, a safe shelter, and humane treatment at all times. If boarding, the adopter agrees that all of the required provisions for care are met (i.e., the feeding program keeps the horse in good flesh meaning that no backbone or ribs show); otherwise the adopter is subject to a breach of the adoption requirements and the horse will be removed. The adopter will allow H.O.P.E. Acres Rescue to come onto the property where the horse is located with prior notification.

If the horse is located at your property, a minimum of 2 acres is preferred with shelter in the form of a run-in shed or barn that can accommodate each horse.

The adopter will not place the horse with an abusive trainer or an unskilled rider unless such rider is being provided with professional riding instruction.

The adopter will not allow the horse to run at large; adequate fencing must be provided and kept in good repair (prefer no barbed wire unless electric wiring is also provided).

H.O.P.E. Acres Rescue must be notified immediately if the horse dies. A veterinarian’s statement/cause of death is requested along with permission to contact the vet.
I agree to all of the above rules for HORSE CARE.*

I agree
DONATIONS

H.O.P.E. Acres Rescue asks for a donation to help cover the cost of care and training of horses at the rescue. Donations can be made by cash, credit card, money order or cashiers check and made payable to H.O.P.E. Acres Rescue. Your donation is paid at the time of adoption and is non-refundable for any reason.
You acknowledge and agree by clicking on the "I Agree" or "Submit" button that any form of electronic signature shall be considered as an original signature for all purposes and shall have the same effect as an original signature. Without limitation, "electronic signature" shall include electronically transmitted versions (e.g., via pdf) of an original signature.*

I agree
ALL APPLICATIONS ARE REVIEWED BY THE BOARD OF DIRECTORS. ALL FINAL DECISIONS ON ADOPTIVE HOMES ARE VOTED ON BY THE BOARD OF DIRECTORS.

Adopter(s) has hereby read, understood and agrees to abide by the above requirements for adoption of the H.O.P.E. Acres Rescue horse(s).
Adopter(s) Signature*

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Adoption Application

Adoption Program Requirements