SCARLET ROSE FARM
EQUINE RESCUE


A Non-Profit Organization Dedicated to Saving Equines From Slaughter

ADOPTION APPLICATION & CONTRACT

 

 

 

SRFER ADOPTION APPLICATION

Please fill out application completely, include clear photos of interior & exterior of barn/shed + turnout area and mail to:

SRFER

29 Buckingham Road

New Milford, CT 06776

or Copy, Paste into Email and send to: Srfrescue@aol.com

 

Name of Applicant:____________________________________

Address:____________________________________________________________________________________________________________________________________________________________

Phone Number: _____________(home) ______________(cell)

Email:______________________________________

____________________________________________________

 Do you own your own farm/barn? YES / NO

If yes, please include address of barn if different than address above: ____________________________________________________

If no, what is the address where do you plan to keep your adopted equine?

______________________________________________________________________________________________________________________________________

 

 

#1: Please fill out below questions pertaining to shelter:

Size of barn/run in shed:_____x_____

Size of stalls:_____x_____

Stalls/Shed are constructed from: WOOD - METAL - OTHER*

(If Other, please explain:_______________________)

Stalls/Shed are matted? YES - NO

How often are stalls/shed cleaned? DAILY - WEEKLY - OTHER*

(If Other, please explain:_________________________________)

What type of water or watering system is provided in barn/shed?

STOCK TANK - AUTO WATERER - BUCKETS - OTHER*

(If Other, please explain:_________________________________)

During winter months how do you insure that equines have access to safe and clean drinking water outside?

HEATED BUCKETS - INSULATED BUCKETS - OTHER*

(If Other please explain:_________________________________)

#2: Please fill out below questions pertaining to turnout/pasture:

Size of field/paddock/pasture: _____x_____ or _____ Acres

Field/paddock/pasture is: GRASS - SAND - DRYLOT - MIXED

Is regular field/paddock/pasture maintenance practiced? (ie: paddock picking, dragging, scraping of manure/top soil to decrease parasites): YES - NO

 

Field/paddock/pasture is fenced with:

WOOD - METAL - WIRE - ELECTRIC - OTHER*

(If Other Is Selected Please Explain:_______________________)

Approx. how many hours per day are horses turned out (weather permitting) ?: _______ Hours

What type of water or watering system is provided in field/paddock/pasture?

STOCK TANK - AUTO WATERER - POND - OTHER*

(If Other, please explain:_________________________________)

During winter months how do you insure that equines have access to safe and clean drinking water outside?

TANK DE-ICERS - HEATED BUCKETS - INSULATED BUCKETS - OTHER

(If Other please explain:_________________________________)

#3: Please fill out questions below pertaining to feeding:

How Many Times Per Day Are Horses Hayed?:

ONCE - TWICE - THREE TIMES - FREE CHOICE - OTHER*

(If Other Is Selected Please Explain:_______________________)

How Many Times Per Day Are Horses Grained?:

ONCE - TWICE - OTHER*

(If Other Is Selected Please Explain:_______________________)

What Type of Grain Do You Feed?:_______________________

Do you feed any daily supplements?: YES - NO

(* If yes, what supplements do you feed?:_______________________________________________________________________________________________________)

#4: Please fill out questions below pertaining to your level of equine experience:

Do you Currently Own or Previously Owned Equines? YES - NO

Do you ride? YES* - NO

* If Yes, please provide your riding level:

BEGINNER - INTERMEDIATE - EXPERIENCED – TRAINER

What type of riding do you do?

PLEASURE - SHOWING – TRAIL RIDING – ENDURANCE – HUNTERPACING –

4-H/PONYCLUB – NONE (Seeking Companion Animal)

Do you plan on showing your adopted equine? YES – NO

(SRFER does NOT place limitations on adopted equines showing…in fact we love to see our rescues doing things! Just send us pictures!!)

Do you have a riding instructor/trainer that you currently work with?

YES – NO

If yes, please provide their name and number below:

Trainer/Instructor Name: ______________________________________________

Phone Number: _____________________________________________

Are you comfortable with blanketing, medicating, providing emergency first aid care as needed? YES - NO

Do you have experience with young, untrained or unhandled equines? YES* - NO

* If Yes, would you be willing to consider a young, untrained or unhandled equine? YES - NO

Do you have experience with owning, handling or training youngstock and stallions? YES* - NO

* If yes, would you be willing to consider youngstock or stallions? YES – NO

Should you have issues or difficulties with your adopted equine are you willing and able to consult and work with a local equine trainer to assist you with concerns?: YES - NO

Do you own a horse trailer and are you capable of hauling to a Veterinary clinic in case of emergency? YES - NO

How far away is your current Veterinarian or the Vet you plan on using? ___________ minutes

Name of Veterinarian: ___________________________________

Phone Number: _______________________________________

Do you currently have a Farrier or do you have a Farrier in mind?

YES - NO - I DO MY OWN TRIMMING/SHOEING

Farrier Name: _________________________________________

Phone Number: _______________________________________

#5: Please tell us a little bit about your daily life:

Are you currently working? YES* - NO - RETIRED

If yes, how many hours per week do you work? _________ Hours

Name of Employer: ____________________________________

Phone Number of Employer:_____________________

How many hours per day or week do you commit to working with and enjoying the equines in your care? (approx) ___________ Hours

Is your spouse, significant other and/or family members supportive of your desire to adopt a rescued equine? YES - NO - OTHER*

(If Other, please explain:_________________________________

____________________________________________________

In the event that you became sick, injured or ill is there a friend/family member close by whom you could count on to provide basic daily care? YES – NO

Do you realize that adopting a horse is a commitment for as long as the horse is alive and well? YES – NO

Do you realize that adopting a horse is a huge financial and time investment as well as a large responsibility especially if you are providing all care yourself?

YES – NO

SRFER requires that adoptive homes commit to maintaining their equines to the current industry standards for care; this means that equines need to be vaccinated, wormed, dental floated as recommended by your Veterinarian. Do you agree to these terms? YES – NO    INITIALS: _______

SRFER reserves the right to contact your Veterinarian or Farrier as needed to confirm that your horses are indeed current on care, do you object to this policy? YES –NO   INITIALS: _________

SRFER reserves the right to repossess your adopted equine in the event that you are no longer able to adequately care and provide for the equine due to illness, injury or extreme financial hardship , do you object to this policy? YES – NO INITIALS: ______

 

SRFER prohibits the sale or trade of adopted equines via auction or dealer; violation of this policy will result in legal recourse. Do you understand this policy and agree to NEVER sell your adopted equine through an auction or horse dealer? YES – NO   INITIALS:________

SRFER understands and appreciates that sometimes things to not always work out between adopted equine and adopter and that adopters lives can change. In the event that an adopted equine needs to be returned or rehomed:

#1: SRFER will ALWAYS have the right of first refusal. This cannot be contested and failure to comply with offering SRFER right of first refusal will result in legal action by SRFER.

·        If equine has been in the care and custody of the adopter for 1-30 days the equine is to be returned to SRFER and adopter will receive a partial refund of the placement fee. If equine has been in the care and custody of adopter for 30+ days and needs to be returned to SRFER (providing space is available for intake) the adopter forfeits 100% of the placement fee.

#2: If the adopter sees fit to place equine on their own they are required to submit information of adopter/purchaser to SRFER for approval before equine leaves their care & custody. Once references have been approved on new adopter/purchaser by SRFER the equine will be transferred to their care & custody and contract issued. A right of first refusal/no auction-slaughter-dealer sale is REQUIRED to follow ALL equines placed by SRFER for the remainder of their life to protect them. Failure to comply with the rules pertaining to custody transfer will result in legal action against initial adopter who entered into contract with SRFER.

 

 

I have read and understood the above policies and accept them:

Printed Name:______________________________________________________

Signature:__________________________________________________________

Date Signed: ________________ Date Application Received:________________

Please provide (3) Non-Family Member Character References Below:

Name: _____________________________

Phone Number: ______________________

Best Time To Call: ___________________

Relation To You: FRIEND - CO WORKER - OTHER

 

Name: _____________________________

Phone Number: ______________________

Best Time To Call: ___________________

Relation To You: FRIEND - CO WORKER - OTHER

 

Name: _____________________________

Phone Number: ______________________

Best Time To Call: ___________________

Relation To You: FRIEND - CO WORKER - OTHER

* OFFICE USE ONLY: _________________________________________________________________________________________________________________________________________________________________________________________________________

INITIALS: ____________ DATE: _____________________

 

 

ADOPTION CONTRACT

Required level of care:

The level of care of Adoption Horses should be the highest standards in the Industry. The horse must have all the annual shots, Spring and Fall, maintain a current coggins. Shots are to include Strangles, EPM, West Nile, Eastern/Western, Tetanus, Rhino, and Influenza, unless otherwisenoted by your Veterinarian. The horse must be de-wormed by paste every 3 months rotating between types, unless otherwise noted by your vet.  The horse must have daily turnout of no less than 8 hours unless there is dangerous weather.  A Vet is to be called for any illness and any serious injury. If diagnosis of injury or illness can not be treated due to financial reasons, horse must be returned to Scarlet Rose Farm Equine Rescue immediately.  The horse must be trimmed or shod by a qualified Farrier, going no longer than every 8 weeks. The Feet are to be cleaned regularly.  Each horse must receive the required daily feed allowance plus plenty of good quality grass or Hay.  Each horse must be offered no less than 15 gallons of fresh water each day, either in buckets or in regularly cleaned out water troughs. A stagnant pond or creek is not an acceptable primary source of water.  Adoption Horses are to have their teeth checked and floated, if needed, annually. The adopter agrees not to work the horse beyond its physical limitations at any time or to put the horse in harms way at any time.  Miniature Horses should not hold more than 50 pounds of body weight.  The horse must have at least one acre of clear-cut pasture with some shades per horse.  The horse must have at least a 3-sided shed in the paddock to block wind and bad weather. Preference is given to anyone that has an individual stall for each horse.  Your Pasture must have acceptable fencing.  Variations in facility requirements depend on the horse, the region and the predominant weather.  Adopter agrees and understands that under no circumstances is an adopted horse/s to be sold at a Livestock Auction or to Slaughter. If adopter can no longer care for such adopted horse/s and wishes to transfer ownership, adopter agrees to place such adopted horse in an humane environment and to approved home, or returned to Scarlet Rose Farm Equine Rescue.  The Adopter agrees to notify Scarlet Rose Farm Equine Rescue if you intend to sell or transfer the horse/s.  The Adopter agrees to contact Scarlet Rose Farm Equine Rescue for the following reasons:

1) Prior to the horse being moved to another residence.

2) If Adopted Horse Dies.

3) If Adopted Horse becomes seriously injured or ill.

It is advised that the adopter pay for a Vet Check if you have any questions prior to the horse departing Scarlet Rose Farm Equine Rescues Facility. All costs upon departing and while away are to be paid by the Adopter, even return transportation. Scarlet Rose Farm Equine Rescue is not responsible for any accidents or injuries either to the horse or adopter after leaving our facility No adoption donations are ever reimbursed regardless of the reason even if the horse is returned to us.

Scarlet Rose Farm Equine Rescue holds the right to recover the horse/s if ever abused, abandoned, neglected, starved, or mistreated, etc., in anyway. The adopter agrees to abide by the Required Level of Care or the horse can and will be recovered by Scarlet Rose Farm Equine Rescue at any time. I have read and understand the conditions of the Adoption Contract and agree to uphold the highest level of care for my Adopted Horse.

Signature of Adopter:__________________________________________________________________

Today’s Date:_________________

 

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