Name

DOB

Email Address

Phone Number

Address

City

State

Zip

Place of work and number

Vet name and number

Boarding location and number

Trainer Name

Trainer Phone Number or Email

Reference Name (not vet or trainer)

Reference Phone Number or Email

How would you rate your riding ability? How would you rate your riding ability? Beginner Intermediate Advanced

Have you ever owned a Thoroughbred? Have you ever owned a Thoroughbred? Yes No

Do you currently own a horse? Do you currently own a horse? Yes No

Why are you seeking to adopt a Thoroughbred?

Give a brief description of your experience and your plans for the adopted horse.

Do you understand that it costs over $6,000 a year to properly care for a Thoroughbred? Do you understand that it costs over $6,000 a year to properly care for a Thoroughbred? Yes No

Are you financially able to care for this horse? Are you financially able to care for this horse? Yes No

Is your annual income over $40,000? Is your annual income over $40,000? Yes No

If under $40,000, will someone help you pay for the care of this horse? Please explain:

Acknowledgement Acknowledgement By clicking the box, I certify the information provided is correct and I agree to abide by the adoption requirements. I acknowledge that my approval is not guaranteed by completion of this form, that it is subject to Arkansas Thoroughbred Retirement and Rehabilitation Foundation’s sole discretion. I understand that I may be asked for additional information by ATRRF and I agree to provide all necessary information and to facilitate onsite visits as required.