10/06
NAME: PHONE: (home)
ADDRESS: PHONE: (work)
CITY/STATE: ZIP
Do you currently own a horse? YES:____ NO:____ If so, how many?____
Do they live at home? YES:___ NO:___
Do you have experience in caring for a foal? YES:___ NO:___
Please describe the facilities for your adopted horse: Box Stall Turn Out_________
Outside corral with shelter_______________
How Big____________________________________________
Are your horses boarded? YES:___ NO:___
Boarding Stables
Address
These horses have been rescued from the Premarin farms in Canada.
We are adopting______________________________with the understanding that you will provide a good home for this horse for the rest of his/her life and that you do not have the intention of breeding this horse.
The United States is over-populated with horses and this is why so many end up being slaughtered.
Horse Name and Number_________________________________Ranch#__________
Colt__________Filly_________Gelding________Mare_________
Breed or Type________________________________________________ Color_______________
What type of riding do you plan to do with your adopted horse?
Please provide the name, address and telephone number of your veterinarian that we may us as a personal reference:
“It is understood that I will provide proper stabling, veterinary care and farrier attention as needed for good health and preventative care. I also agree to notify the United Pegasus Foundation thirty (30) days prior to the relocation or transfer of this horse from the horse’s stabling address listed on this application. I also understand that it is my responsibility to have this horse vetted and that the UPF cannot be held responsible for any veterinary attention this horse might need.”
AGREED:
Signature: Date:
Please return this application to:
The United Pegasus Foundation, 120 S. First Avenue, Arcadia, CA 91006.
RELEASE OF LIABILITY
(Please read carefully, sign where indicated and return with application)
Adopting party shall assume all responsibility, risk and liability for the care and control of the horse adopted from the United Pegasus Foundation from the date of adopted forward. It is understood that the adopting party shall hold the United Pegasus Foundation and all its officers, directors and volunteers harmless from any claims of damage, injury or acts of negligence, howsoever caused, to adopting party or any other party, The United Pegasus Foundation can make neither claim nor warranty beyond their date of adoption. Adopting party agrees that neither he/she not any assignees, heirs, distributes, guardians or legal representatives will make any claim against, sue, nor attach the property of the United Pegasus Foundation, it’s officers, directors or volunteers, for any actions or claims whatsoever arising from this adoption agreement.
I HAVE READ AND THOROUGHLY UNDERSTAND THIS RELEASE OF LIABILITY AND AGREE TO ABIDE BY IT.
AGREED:
Signature: Date:
Applicants under the age of 18 must include a statement of financial responsibility signed and dated by a parent or guardian.
IF YOU HAVE ANY PROBLEMS OR QUESTIONS, PLEASE CONTACT US AT (626) 279-1306.
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