If Applicant is under 21 years of age, please provide the name, address, and phone for the parent/guardian.
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Applicant Address *
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Applicant Phone - Home
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Applicant Phone - Cell *
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Applicant Email Address *
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Applicant Employed By *
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Applicant Work Title *
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Applicant Driver's License Number/State *
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Applicant Date of Birth *
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Reference #1 - Name *
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Reference #1 - Phone *
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Reference #2 - Name *
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Reference #2 - Phone *
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Reference #3 - Name *
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Reference #3 - Phone *
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Have you owned horses previously? Please tell us a little about your experience. *
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Please provide the name and contact information of the equine veterinarian that you have used. We will be contacting your veterinarian for a reference. *
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Name of Horse to be Adopted *
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Year of Birth, Breed, and Gender of Horse *
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Where will the horse be stabled? *
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Please provide us with a name and contact number for the owner of the facility where the horse will be stabled. *
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Can HART come out for a site visit to where your horse will be stabled? *
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What is your level of riding ability? *
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Are you confident in your ability to handle a retired Thoroughbred? *
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Discipline(s) you would like the horse to perform: *
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Considering the rising costs of feed, vet care, farrier, etc., are you confident that you have the financial means to properly care for the horse? *
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Will there be more than one person involved in the care of the horse? If so, please provide names, addresses, and phone numbers. *
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Briefly explain why you want to adopt this particular horse. *
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