Ontario Standardbred Adoption Society

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Adoption Application

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Please ensure all questions are answered, including a description of your ideal horse.

Date:

Applicant's Full Name:

Age (Must be 18 or older):

Home Phone:

Work Phone:

Cell:

Email:

Full Mailing Address:

City/Town:

Province:

Postal Code:

How did you learn about OSAS?

Friend

Website

Other

Please list your preference for your horse:

Name of Rider:

Level of riding experience?

Beginner

Novice

Intermediate

Advanced

On average, how many days a week will the horse be ridden or driven?

Have you ever owned a horse or pony before?

Yes

Please list the current horse(s) you own:

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STABLING INFORMATION:

This horse will be stabled at:

Boarding Facility

My personal property

Name of Facility:

Address:

City:

Province:

Postal Code:

Contact Person:

Phone #:

Describe the shelter for your horse:

Barn size:

Box stall size:

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Type of flooring in:

Stalls:

Run-in Shelter:

What type of fencing enclosed the turnout areas for your horse?

Please indicate the size of turnout area to be used:

How many horses are stabled at the facility?

How many horses are paddocked together outdoor?

How long will your horse be turned out each day?

What type of hay is used & what amount is fed per day during turnout?

What type of hay is used & what amounts is fed during turn-in?

What is the grain stored in and where is it located?

Is clean water provided and available to the horse 24 hours per day?

Yes

What is your worming schedule?

How often will/do you trim/shoe?

How often will/do you have your horse inoculated?

Does your veterinarian administer your vaccines?

Yes

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APPLICANT REFERENCES: (Please do not include family members)

Name of Present Veterinarian:

Phone #:

Address (If Rural Route, please include actual street name and address):

Name of Farrier:

Phone #:

Name of Riding Coach (if applicable):

Phone #:

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PERSONAL REFERENCES:

Name:

Phone #:

Relationship:

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Neighbor (for contact purposes if you are away):

Name:

Phone #:

Address:

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If possible, please include pictures with your application which will expedite the application process. Close-up pictures of the following are helpful.

✓ Barn and/or run-in shelter (inside and out)

✓ Hay, grain and grain containers

✓ Inside of stall/shelter (including flooring)

✓ Turnout paddocks (including fencing/water, etc.)

✓ Other horses at facility (if applicable)

✓ Any other animals currently in your care or at the stabling site.

Please use this space to describe your ideal horse:

Thank you for contacting us.
We will get back to you as soon as possible.

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Acknowledgement of Liability

I, the undersigned hereby release the Ontario Standardbred Adoption Society (OSAS), its employees, volunteers and agents from any and all liability of any nature and kind whatsoever for any and all damages, loss, or injury to both person or property, whether such is caused directly or indirectly, by a horse(s) in the care and control of the Ontario Standardbred Adoption Society, or a placement recipient, or any other person or persons who may have temporary custody or control of such horse(s).

This release shall be fully effective even in the event of negligence or gross negligence of the OSAS, its agents, employees or volunteers, being the causative factor, directly or indirectly or such loss or damage.

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