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, approvals are reciprocal within CANTER 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.
Once completed you can fax or mail this form:
Fax to: Gail Hirt at 810-384-8410
Mail to:
CANTER,11621 Bryce Rd., Emmett, MI
48022.
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:
Advanced
Intermediate
Beginner
Rate Your Horse Care Experience:
Advanced
Intermediate
Beginner
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.