Adoption Application
 
Please fill in all areas of the application. Age, and proof thereof, must be entered as minors must     have parental consent and approval to sign legal and binding contracts, and in certain jurisdictions may not be able to do so even with consent; the contract must be signed by the parent or legal guardian.
Name:
Address:
City:
Province/State:
Country:
Postal Code:
Telephone:
 
Age: Driver's License #:
If under 18, name and signature of parent or guardian 
 
 
Name of horse:
Reason for wanting to adopt: (use additional sheet if required} 
 
 
 
 
Experience with horses:
Intended use: 
 
Facilities (complete land and outbuilding description):
 
 
 
 
 References: at least 3 people who have known you for 10 years, no relatives or former employers, unless employers were in the horse industry
Reference 1: Name 
                    Address 
 

                    Phone:
Reference 2: Name 
                    Address 
 

                    Phone:
Reference 3: Name 
                    Address 
 

                    Phone:
Reference 4: Name 
                    Address 
 

                    Phone:
Reference 5: Name 
                    Address 
 

                    Phone:
Veterinary references (at least one required)
Reference 1: Name 
                    Address 
 

                    Phone:
Reference 2: Name 
                    Address 
 

                    Phone:
Reference 3: Name 
                    Address 
 

                    Phone:
 
Approved Not approved
 
Reviewed by:
1: 2:
3: 4:
5: 6:
 
As this application needs to be reviewed by a horsemen's committee, please print out and send via regular mail to :Saskatchewan Standardbred Adoption Program
                       Box 194
                       Lang, Sk.
                       Canada
                       S0G 2W0

Please note that any adoption will be subjected to inspection without notification, and any horse that is not looked after to our standards may be removed without notice.