adoption application

To be considered for a CANTER horse, you must fill out this application. Please answer all the questions as all fields are mandatory. There is a printable version of the Approval Form that you can fax to us. Click here to go to the printable Approval Form.

Foster homes that do not intend to purchase, do not need to respond to questions regarding riding, or intended use.

NOTE: CANTER Mid Atlantic has limited its adoption area to within 3 hours of our Maryland location and will, therefore, only consider applications from those residing within that distance.

Please email us if you have problems with this form!

Horse Interested in Purchasing:
Name:
I am over 18:	Yes No
Email:
Address:
Day Telephone:
Night Telephone:
Cell Telephone:

I am seeking to be approved as a:
Do you understand that this is an off the track racehorse that has only had race training and requires an experienced rider capable of retraining them as riding horses?	Yes No
Explain your understanding of what is required in to successfully retrain/transition these horses as riding horse:

Horse Location
Where will the horse be stabled?	Boarding Facility My Farm
If boarding facility or your farm has a location other than the address provided above, please provide the following information:
Name of Stable or Farm:
Address:
City, State, and Zip:
Phone Number:
Contact Name:
Facilities
What type of fencing will the horse 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 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
How many horses (besides the CANTER horse) will share it?
Is the turn-out dirt or grass?
Will the horse be pasture boarded only?	Yes No
If stalled, how many hours a day will the horse be turned out?
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
Riding:
Horse Care:
I have experience working with horses recently off the track:	Yes No
If no, will you seek the guidance of an experienced trainer:	Yes No
If yes, please provide the following information. If no, please explain:
Trainer's Name
Trainer's Phone Number
Veterinarian
Note: Your application cannot be approved without this information. We will contact your veterinarian either by phone or fax. Prior to us making contact you must call your veterinarian, advise them you are putting them down as a reference, and give them permission to disclose relevant information to us. Forms with incorrect numbers will not be processed as will forms where the veterinarian has not been given prior approval to discuss your account. DO NOT supply the vet phone number as the fax number unless they are the same number.
Vet Name:
Vet Phone:
Vet Fax:
Farrier
Farrier Name:
Farrier Phone:
Intended use:
Please indicate what you intend to use your CANTER horse for (check all that apply):	Pasture/Non-riding Companion Only Light Trail Riding Western Pleasure 4H or light showing Western Performance Trail riding Light jumping Dressage Hunter/Jumper/Eventing Breeding What breed/color? Do you have hands on experience in caring for a broodmare and foaling? Please explain breeding experience: Other
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? 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:
Name/Signature of Purchaser:
Date: