Second Chance Equine Rescue and Sanctuary Adoption Application

Second Chance Equine Rescue and Sanctuary (SCERAS) require that all applications besubmitted with a $10 processing fee. SCERAS requires a copy of a utility bill or someother form of residence verification along with photos showing, at a minimum; fencing,(barbed wire not permitted) gates, pasture, a barn/shelter photo, and a photo showing thestall to be used for the adopted equine as well as any other equines owned by theapplicant or housed on the property. SCERAS may ask for additional photos if detailsare unclear. All adopters must be 21 years of age or older.SCERAS will not process applications in the absence of photographs and the processingfee.Mail Application, fee, Residence Verification, and Photos to:Second Chance Equine Rescue and Sanctuary234 Hawkins-Cummins RoadParis, KY 40361

Thank you for your interest in adopting an Equine from SCERAS. To ensurethat each of our horses finds a permanent and loving home, our applicationasks several detailed questions that are necessary for the screening process. All information will be kept completely confidential.

Personal Information:

Full Name:____________________________________________ Age:_____________Complete Address: ______________________________________________________________________________________________________________________________Home Phone Number:__________________________Work Phone Number: __________________________Place of Employment: __________________________Occupation:_________________What is your household’s combined annual income?_____________________________Email:__________________________________________________________________Do you have any other pets or livestock? ______________________________________

Equine Experience:

Have you ever owned an equine before? If yes, how many and explain their uses?______________________________________________________________________________________________________________________________________________What is your level of riding experience? ______________________________________

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Beginner

- Rider is new around horses. Comfortable riding at a walk.

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Advanced Beginner

- Comfortable at walk and trot, some experience with fastergaits.

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Intermediate

- Comfortable at all gaits, can handle horses that test rider.

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Advanced

- Comfortable handling difficult horses in various situations andenvironments.

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Very Advanced

- Has previous experience training horses or experience handlinggreen horses.What style of riding or driving do you practice?_________________________________How many equines do you currently own?_____________________________________

Facility or Boarding Information:

Will the horse be stabled on your property or boarded out?________________________If kept on your property:What is the number of acres the equine will be pastured on.________________________What is the total number of equines on this property?_____________________________If this property is located at a different address than above, please give address.________________________________________________________________________What type of shelter do you have for the equine? ________________________________If you have a barn, please give the number and size of stalls._______________________What type of fencing will the equine be kept behind? ____________________________If the equine is to be boarded on someone else’s property:Name of boarding stable: _________________________ Owner:___________________Address of stable:________________________________________________________________________________________________________________________________Phone Number:_________________________Fax Number:_______________________

Have you boarded an equine at this facility before? ______________________________

Other Questions:

Why do you want to adopt an equine from SCERAS?_______________________________________________________________________________________________________________________________________________Do you realize that it may cost $2000-$3000 or more per year to care for the adoptedequine? (Feed, Vet, Farrier, Board…etc.)______________________________________Will there be anyone helping you pay for the care of the adopted equine? If so, explainwho and why.____________________________________________________________Have you sold any equines in the past five years? ____ If so, why were they sold?_______________________________________________________________________What breed/size/gender would you prefer?_____________________________________Will you accept a horse with a limitation? Please circle.Lameness: None Slight Ride-able with Special CareBehavioral: None Slight Needs Confident Handler Needs RetrainingWill you adopt a Companion (non-ridable) horse? ______________________________What type of horse do you wish to adopt? _____________________________________

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Experienced- Calm, gentle, and minimal handling issues. Could potentially behandled by child or beginner.

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Inexperienced/Green- Has had inadequate training. But, has good manners and iswilling to please.

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Untrained- Horse may never have been adequately handled or broke, or may beyoung.For untrained horses: Are you planning to hire a trainer if you adopt a horse above yourexperience level? If yes, Name of Trainer ______________________Phone number: ______________Will the manager/owner of your boarding stable (if applicable) be willing to signSCERAS’s boarding agreement? This form states that they will contact us if you are latepaying a bill, or not properly caring for the equine._______________________________