SPCA in Cattaraugus County Inc.

Foster
and/or Permanent Adoption Application for
Equines
Thank you for your interest in a foster/permanent adoption of an equine rescued by
The SPCA in Cattaraugus County. Our goal is to find the best possible homes for
these animals. To help us in meeting that goal, please answer the following
questions to the best of your ability. Your accurate responses will also help us to
match you with an equine that meets your requirements.
** Note this
agreement and its questions are intended for the protection of the
equine, NOT to keep you from owning/fostering one**
Do you wish to:___________ Foster
Adoption.

___________Adopt

____________Foster to

Name/Description of Equine (s) You Wish To Foster/Adopt:

YOUR CONTACT INFORMATION

Name: ________________________________________________________________________
Age
____________
Full
Address:
___________________________________________________
Phone(s)
________________________________E
mail:
_________________________________
Please fill out your facility information below. If you would be boarding an adopted
horse, please provide the name of the stable and contact information for the barn
owner/manager.
Home Location:_________________________________________________________________
# Fenced Acres:______# Horses currently on property: ____________# Owned By You:
____
# and Size of Stalls:
_____________________# and Size of Run-Ins:
_____________________
Do you own or rent the property on which your equine will reside? __________ If you
rent,
please
provide
the
name/telephone
number
of
your
landlord:__________________
_____________________________________________________________________________.
If Boarding, the Barn Name and Owner/ Manager Name & Phone #:
Please tell us why you would like to adopt this equine and what your plans for this
equine will be:
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Adoption: Our goal is to place equines with people who are committed to lifetime
care for the horse(s) that they adopt. If you wish to adopt and if the equine is
rideable or able to be driven, do you agree to provide care for the equine for the
rest of his/her life, even after he/ she can no longer be ridden or driven?

If you are approved, will this be your first equine?___________Are you willing to have
an SPCA representative do a property and facility check? __________ If so, what
days/times would be most convenient?___________________________ If you adopt
what will your expectations of this equine(s) be?

What would you describe as your level of experience with equines and briefly
describe your prior experience with equines:
If you had equines in the past, please tell us what they were used for and why you
do not have them now?

Do you currently take riding/driving lessons or work with a

______________Explain what kind of style or training technique you prefer:

trainer?

Have you ever sold an equine at auction? (PLEASE be Truthful). What was the
result, if you know?
Have you ever surrendered an animal to the SPCA or like agency? If so, why?
HEALTH AND WELL-BEING: How often do you feel an equine should be wormed?
How often do you feel an equines teeth should be floated?
often do you feel an equines hooves should be trimmed?

How

How much do you anticipate spending yearly for feed, veterinary, farrier care,
dental, and medication, special medical and dietary needs?
Tell us what vaccines you will have administered to this fostered/adopted equine
and frequency.
Please provide us with your veterinarians information and permission to contact
him/her:
Name, Address and Phone:
Please provide us with your farriers information and permission to contact him/her
Name, Address and Phone:
Please provide two references, (people Not related to you), who can verify your
level of equine experience, knowledge, ability to provide and care for an equine:
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Name and Phone #

Name and Phone #

Please advise if you are a trainer. If so please provide references below. If you have
access to a trainer to assist you with the equine(s) you adopt, please provide
contact information below.
**When you return the application, please also provide photos of where
the equine will be living**

Signing this application authorizes contact of the listed references and inquiry
about
your equine experience.
Adopters Initials
If you adopt a pregnant mare, do you agree to provide proper veterinary care for
the mare and foal at your expense?
Yes
No
N/A
If you adopt a stallion or colt, do you agree to have an appointment set up to geld
him and have that appointment verified by a representative from the SPCA?
Yes

No

N/A

If needed, do you agree to arrange an appointment with your vet upon adoption to
have the equine(s) vaccinated and assistance with a worming program and any
other health issues?
Yes

No

Please initial that you have been advised of all the following
information about the available equines for foster/adoption:
It is understood periodic updates and photos are requested, should you move or
have a change in contact information, e-mail or change boarding facilities the
information will be forwarded, to update records and monitor the whereabouts,
health and safety of the horse (horses ).
Foster/Adopters Initials
Date
It is agreed that if said animal is adopted by you and the equine and or its offspring
is to be offered for sale or rehoming in the future, The SPCA of Cattaraugus County
SPCA will be
notified:____________________________________________________Phone::________________
_______________________e-mail:__________________________________, Text:
_______________________ and that you will give the SPCA the First Right of Refusal.
The SPCA has fourteen (14) days in which to notify you that it will exercise its First
Right of Refusal from the date of notification by the adopter. If the SPCA opts not
to exercise its First Right of Refusal, the adopter shall require an agreement by the
new adopter/purchaser to execute this agreement as provided below and provide
the SPCA with the name, address and telephone number of any prospective
adopter/purchaser to which the equine may be transferred so that the SPCA may
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update its records and monitor the whereabouts, health and safety of the equine.
Adopters Initials

It is further agreed that the equine may not be sold or transferred in any way into
the custody of another person until such person completes a copy of the
Application and Agreement, and the subsequent adopter/custodian shall be bound
by the terms thereof.
Adopters Initials

Date

It is further agreed that this animal will only be transferred privately and will not be
resold at any type of auction, equine broker, feed lot or slaughter destination.
Adopters Initials

Date

In the event the undersigned fails to comply with the terms of this Application and
Agreement, The SPCA reserves the right to commence legal proceedings to recover
the equine, and the undersigned shall be liable for all costs including damages and
reasonable attorneys fees to the SPCA in Cattaraugus County, Inc. and such costs
are assumed at a minimum of $15,000.00, inclusive of attorneys fees, in
connection with such legal proceeding.
Adopters Initials
Date
This offer is accepted by (must be signed):
Signed_________________________________________ Date________
*Adopter signature warrants that the adopter is at least 18 years of age at the time
of signature and acknowledges receipt of and agreement to the Terms and
Conditions contained within this agreement
The following Release of Liability is to be signed upon approved
application prior to taking possession of the horse or horses.
Release of Liability
I have made no misrepresentation to the SPCA regarding my name, address, age,
riding ability, equine experience or any other information that was requested. I
agree to hold harmless and indemnify the SPCA that has organized this adoption
for any loss or damage, including any that result from claims for personal injury or
property damage related to my handling of the equine named on this adoption
application.
Date:________________Printed Name:
__________________________________________________
(Must be signed)

I have advised that this document is a release of liability and have checked to
make sure that he/she has read this document and understands the nature of this
document and that he/she is signing this document of his/her own volition.
Date:________ WITNESS SIGNATURE: ______________________PRINT
NAME:____________________