Run for the Ribbons Inc. Horse Adoption Application All adopters must be at least 18 years old and be financially and physically able to provide proper care for the Adopted Horse. Date(Required) MM slash DD slash YYYY PERSONAL INFORMATIONFirst Name(Required)Last Name(Required)Age (check one)(Required) 18-25 26-30 31-40 41-50 51-60 over 60 Height:(Required)Weight:(Required)Address:(Required)City:(Required)State:(Required)Zip:(Required)CONTACT INFORMATIONHome #(Required)Cell#(Required)Work#(Required)Email:(Required)FINANCIAL INFORMATIONEmployer:(Required)Total Income (check one):(Required) Under $25,000 $25k-$35k $35k-$50k $50k-$75k $75k-$100k over $100,000 Other Will anyone be helping you pay for the care of the horse?(Required) Yes No Please enter your answer here(Required)Are you aware that it costs $3,500-$5,000 a year to care for a horse?(Required) Yes No HORSE EXPERIENCE AND HISTORYDescribe your experience with horses:Have you previously owned a horse?(Required) Yes No Do you currently own a horse?(Required) Yes No If you had horses in the past, please explain what were they used for and why you no longer have them.(Required)What riding disciplines do you practice? Be sure to include the number of years.(Required)What breeds have you handled or ridden?(Required)Do you have experience training green horses?(Required) Yes No If yes, please explain:(Required)Have you ever trained an off-track Thoroughbred?(Required) Yes No Have you ever sold a horse?(Required) Yes No If yes, please explain:(Required)YOU AND YOUR POTENTIAL ADOPTED HORSEWhy do you want to adopt an ex-racehorse?(Required)Please indicate your preferences.Gender(Required) Gelding Stallion Filly/Mare No Preference Color(Required) Bay Chestnut Gray/Roan No Preference Age(Required)Height(Required)What riding discipline and level of riding do you wish to achieve with horse?(Required)How often do you want to ride your horse?(Required) Daily 2-3 times a week 3-5 times a week 1-2 times a month Weekends only Seldom How would you rate your riding ability?(Required) Beginner Intermediate Advanced Do you have a trainer?(Required) Yes No If yes, please provide trainer’s name & phone number:(Required)Beside yourself, who else will be riding the horse?Rider 1Name :(Required)Weight:(Required)Height:(Required)Riding Ability:(Required)Rider 2Name :Age:Height:Weight :Riding Ability:Rider 3Name :Age:Height:Weight:Riding Ability:What is your overall goal for the horse?(Required)When would you like to adopt?(Required)What do you plan to do if your horse becomes physically un-rideable?(Required)BOARDING OR FACILITY INFORMATIONPlease provide the name, address and phone number or the farm or stable where the horse will stay.Facility Name:(Required)Address:(Required)City:(Required)State:(Required)Zip:(Required)Who owns the facility?Name:(Required)Phone #:(Required)Do you live at the facility?(Required) Yes No Have you had horses at this facility before?(Required) Yes No Are you, or the boarding facility, willing to feed the 8-12 pounds of grain and ¼ - ½ bale of quality hay daily necessary to maintain a Thoroughbred? This amounts to approximately one 50lb bag of feed every 6 days or six bags a month plus 10-20 bales of hay per month.(Required) Yes No What type of grain and hay will be fed?(Required)If you DO NOT live at the facility,what is the monthly board fee?(Required)What does that fee cover?(Required)If you DO live at the facility, what do you anticipate paying a month to care for the horse?(Required)How many horses are currently at the facility?(Required)Will the horse have a stall or run-in (check one)?(Required) stall Run-In Neither Please provide dimensions:(Required)Does the facility have pasture?(Required) Yes No If yes, how many total acres?(Required)Are the following available in the pasture?(Required) Water Troughs Trees Lake/Pond What type of fencing surrounds the pasture/paddock? Explain in detail (type of material, number of rails, strands, height) Barbed wire is not acceptable.(Required)How many other horses will the horse be turned out with?(Required)How many hours a day will the horse be turned out?(Required)REFERENCE INFORMATIONPlease provide us with your veterinarian’s information.Name:(Required)Phone #:(Required)Address:(Required)City:(Required)State:(Required)Zip:(Required)Please provide us with your farrier’s information.Name:(Required)Phone #:(Required)Address:(Required)City:(Required)State:(Required)Zip:(Required)Please provide two NON-FAMILY references who can testify to your ability to provide and care for a horse.Name:(Required)Phone #:(Required)Name:(Required)Phone #:(Required) Δ