Photo Submission

Photo Submission

for Secretariat Center Adoption Application
Applicant 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
Facility Information
Facility Name, if applicable
Facility Type:*

Personally or family ownedRentalBoarding FacilityOther
Facility Website, if applicable (not a Facebook page unless no other website exists)
Facility Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload Photos
Please upload photos using the links below. You may upload more than one photo per category but in the event of multiple uploads each file may be no larger than 100MB. Accepted file types are pdf, zip, jpg, jpeg, and png.
Outside of the barn:*

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Optional comments:
Inside of the barn:*

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Optional comments:
Inside of a stall:*

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Optional comments:
Pastures and/or turnout paddocks:*

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Optional comments:
Close-up of each type of fencing at facility:*

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Optional comments:
Any additional photos of the facility, of your current animals, or of you riding:

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Optional comments:
Submit videos:

REQUIRED: If you are 18 years of age and younger (or if you are completing an adoption application for a minor), please submit a recent video of you riding. Video files may be EMAILED to info@secretariatcenter.org.

OPTIONAL: If you are over 18 years of age, you may email a video of you riding to info@secretariatcenter.org if desired.
Will you be submitting a video of you riding to info@secretariatcenter.org?*

YesNo
If desired, any videos of you riding or handling horses (may be zip, mpg, flv, avi, or gif):

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Optional comments:
Signature *

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

MonthDayYear
Date
Secretariat Center
4155 Walt Robertson Rd., Lexington, KY 40511
859-246-3080 (office)
www.secretariatcenter.org
adopt@secretariatcenter.org
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