Approval Form

For those proceeding, we thank you for taking an interest in our program and for taking the time to provide the information necessary for approval. We strive to make you happy with your CANTER horse and we hope for a permanent home for our horse also. Once approved, you will be notified by email or telephone. Your approval will be valid indefinitely for any horse CANTER owns that meets your intended use. You must update your approval and notify us if your contact information or location where a horse will be kept ever changes (email address, street address and/or telephone numbers) from the information we have on file. Generally, once you are approved within CANTER, you are approved with all affiliate programs depending on any geographic limitations. Please notify us if you have already been approved and by which affiliate program.

Please tell us some information about your experience and the facility where the horse will be stabled. Prospective purchasers will need to complete ALL questions.

There is a printable version of the Approval Form that you can fax to us. Click here to go to the printable Approval Form.

All Fields other than Additional Information are REQUIRED FIELDS. Supply answers for ALL FIELDS. Please email us if you have problems with this form!

You can also use our Printable approval form or copy and paste the form below into an email message and send it to approvals@canterusa.org. Or Fax it to Gail Hirt at 810-384-8410.

Please NOTE: “If you haven’t heard back on an approval, please contact your vet to find out if they have responded to our reference check. 90% of all approval delays are due to the lack of vet responses. It is your job to let your vet know we will be contacting them.”

Horse Interested in Purchasing:
Name:
I am over 18:	Yes No
Email:
Address:
City and State:
Zip Code :
Home Telephone:
Place of Employment :
Work Telephone:
Cell Telephone:
Best Time to Call :	Day Evening Anytime

I am seeking to be approved as a:	Foster Home Adopter Both
If you answered "both", are you looking to adopt a horse now or to simply foster?
Do you understand that this is a racehorse off the track, has likely had only racing training, and that the horse will need an experienced rider and someone capable of retraining him/her as a riding horse?	Yes No
Please explain your understanding of a racehorse's training and what you believe will be required in order to successfully transition the horse as a riding horse:
I understand the financial obligations to maintain a healthy horse and I am capable of doing so without sharing those financial obligations with another party through lease or otherwise being dependent on them:	Yes No
Intended use:
Please indicate what you intend to use your CANTER horse for (check all that apply):	Pasture/Non-riding Companion Only Trail Riding Western Pleasure 4H Western Performance 4H - Pony Club Endurance Light Showing (English and/or Western) Light Jumping Dressage Hunter/Jumper/Eventing/Competition Other If Other, please explain. Breeding (If breeding, please answer the following questions: What purpose do you intend to breed this horse for? Do you have hands on experience in caring for a broodmare and foaling? Yes No Please explain your breeding experience:
Horse Stabling
Where will the horse be stabled?	Boarding Facility My Farm
State name and address of facility where horse will be boarded: (You must fill this out even if it is the same address from above!)
Name of Stable or Farm:
Address:
City, State, and Zip:
Phone Number:
Contact Name:
Facilities
Describe the type of fencing the horse will be turned out on? (check all that apply)	Wood 3 or 4 board rail Vinyl or plastic coated board Vinyl fence (5 inch wide style or rolled) Split rail Wire farm fencing (graduated squares) Strand high tensile wire on t-posts Strand high tensile wire on wood posts For strand wire on any post, please state the number of strands, what is the height of the fence, and the distance between the posts. Other ` If other, please describe:
What is the size of the turn out area (select one)?	Under an acre Under 2 acres Under 5 acres Under 10 acres Over 10 acres
Is there a run-in shelter?	Yes No If yes, what are the dimensions of the shelter?
How many horses (besides the CANTER horse) will share it?
Is the turn-out dirt or grass?	Dirt Grass
Will the horse be pasture/field boarded or will it be on full board and have a stall?	Pasture Full Board with Stall
If stalled, how many hours a day will the horse be turned out verses in a stall?
When first introduced to other horses, the new horse must NOT be suddenly turned out with them. Is there a separate over fence paddock or pasture that can be used until the horse is acquainted with others?	Yes No If no, please explain:
Horse Experience
Rate Your Riding Experience:
Rate Your Horse Care Experience:
I have experience working with horses recently off the track:	Yes No
I will seek the the guidance of an experienced trainer:	Yes No
If no, please explain:
Name and phone number of your trainer (leave this blank if you do not have one):
Trainer's Name
Trainer's Phone Number
Veterinarian
THIS MUST BE COMPLETED OR YOUR APPROVAL WILL NOT BE PROCESSED. Contact is made with your veterinarian by fax. YOU MUST call your veterinarian and advise them that you are putting them down as a reference and that you want to be approved to purchase a CANTER horse. You should tell them that CANTER, the racehorse placement program will be contacting them by fax. DO NOT supply the vet phone number as the fax number unless they are the same number. Forms with incorrect fax numbers will not be processed! If you haven’t heard back on an approval, please contact your vet to find out if they have responded to our reference check. 90% of all approval delays are due to the lack of vet responses.
Vet Name:
Vet Phone:
Vet Fax:
Farrier
Farrier Name:
Farrier Phone:
Lifetime Conditional Bill of Sale
A Lifetime Conditional Bill of Sale will be required to be signed. The horse may never race again. Follow up farm visits may be performed. Although you are allowed to sell, lease or transfer a CANTER Owned Horse, the Lifetime Conditional Bill of Sale is for the lifetime of the horse and new owners are bound by the conditions of this bill of sale. The Lifetime Conditional Bill of Sale requires, among other things, that CANTER be provided with a right of first refusal in the event of transfer of this horse and approval and notification in writing of the new owner.
Do you intend to transfer the ownership of this horse after retraining?	Yes No
Do you understand and agree to the conditions that will be in the Lifetime Conditional Bill of Sale?	Yes No
Have you ever sold a horse to a horse dealer that buys and sells at auctions or have you ever sold a horse through an auction?	Yes No If yes, please explain:
Additional Information
Is there any additional information you would like CANTER to know about you when considering your application?
Acknowledgement
I acknowledge that inaccurate or false statements made on this Adoption Questionnaire may void this sale at a later date. The information I am submitting is true and filling out the following boxes will act as my signature: I also acknowledge that my approval as a foster home or as a buyer is not guaranteed by completion of this form, that it is subject to CANTER's sole discretion and that it may be withdrawn should the circumstances, upon which my approval was based, change.
Name/Signature of Purchaser:
Date:
Please Note: The next page you see is your confirmation that your approval form was submitted. You should see a page that says Thank you! Your Approval Form has been submitted. If you don't see this page, please make sure you filled out all of the fields and try again. If you did see thank you page and haven't heard back on an approval, please contact your vet to find out if they have responded to our reference check. 90% of all approval delays are due to the lack of vet responses.