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CANTER Owned Approval Form - Kentucky

Name (*)

Please enter your name
Horse Interested in Purchasing (*)

Please enter the horse name or Not sure.
I am over 18: (*)



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Email (*)

You must enter your email address
Address (*)

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City and State (*)

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Zip Code (*)

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Home Phone (*)

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Place of Employment (*)

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Work Phone (*)

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Cell Phone (*)

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Best Time to Call (*)




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I am seeking to be approved as a: (*)




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If you answered "both", are you looking to adopt a horse now or to simply foster?

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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?

(*)



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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:

(*)

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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:

(*)



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Please indicate what you intend to use your CANTER horse for (check all that apply): (*)













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If you selected Other, please explain.

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If you selected Breeding, what purpose do you intende to breed this horse for?

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Do you have hands on experience in caring for a broodmare and foaling?





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Please explain your breeding experience:

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Horse Stabling


Where will the horse be stabled? (*)



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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 (*)

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Address (*)

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City, State, and Zip code (*)

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Phone Number (*)

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Contact Name (*)

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Facilities

Describe the type of fencing the horse will be turned out on? (Check all that apply.) (*)









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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.



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If you selected Other, please describe.

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What is the size of the turn out area (select one)? (*)






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Is there a run-in shelter? (*)



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If yes, what are the dimensions of the shelter?



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How many horses (besides the CANTER horse) will share it?

(*)

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Is the turn-out dirt or grass? (*)



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Will the horse be pasture/field boarded or will it be on full board and have a stall?

(*)



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If stalled, how many hours a day will the horse be turned out verses in a stall?



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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?

(*)



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If No, please explain:

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Horse Experience

Rate your riding experience (*)

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Rate your horse care experience (*)

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I have experience working with horses recently off the track:

(*)



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I will seek the the guidance of an experienced trainer:

(*)



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If No, please explain:

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Name and phone number of your trainer (leave this blank if you do not have one):

Trainer's Name

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Trainer's Phone

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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 (*)

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Vet Phone (*)

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Vet Fax (*)

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Vet Email Address

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Farrier

Farrier Name (*)

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Farrier Phone (*)

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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?

(*)



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Do you understand and agree to the conditions that will be in the Lifetime Conditional Bill of Sale?

(*)



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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?

(*)



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If Yes, please explain:

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Additional Information


Is there any additional information you would like CANTER to know about you when considering your application?



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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 (*)

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Date (*)

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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.

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