Fiordland Equestrian Thoroughbred Rehabilitation Program

Horse Donation Application

If you would like to donate a horse to the program, please complete the donor application.

"FETRP"

Fiordland Equestrian Thoroughbred Rehabilitation Program

A nonprofit and 501(c)(3) charity organization

531 Sycamore Ave, Croydon, PA 19021

Phone: (732) 822-3367

Autumn.FETRP@gmail.com

"Owner"

First name

Last name

Address

Phone

"Trainer"

First Name

Last Name

Address

Phone

"Horse"

Registered JC Name

Barn Name

Sex

Birth Year

JC Registration Number

Microchip Number

Current Racetrack

Address

Last Raced

Brief Summary of why horse is being retired.

Past Injuries:

Medical Needs/Maintenance:

Comments/Warnings:

Last deworming

Last float

Requested Horse Donation Amount:

Required Documents:

1. Current Negative Coggins

2. Current Health Certificate

3. Registration Papers

4. All Diagnostics/records/xrays

(Emailed to autumn.fetrp@gmail.com upon transfer of horse ownership)

Please indicate if you are able to sponsor the horse with a tax-deductible donation to FETRP (the average cost to rehabilitate and rehome a horse through our program is $3,500-$5,000 depending on the length of rehab. The average length of stay is 5-6 mon.

Yes, I can contribute $___________ per month until the horse is adopted out of the FETRP program.

Yes, I can contribute a one-time donation of $____________.

No, I cannot make a financial contribution at this time.

If selected 'yes' to either option above, please enter amount of financial contribution.

NOTE: Having an injury that requires extensive rehab does not disqualify a horse for our program at this time, however, veterinary records must be sent to us for our review prior to acceptance. Transfer of HISA ownership and Jockey Club registration papers is required if accepted.

I understand the horse is subject to FETRP’s review and approval of this application. If this application is accepted, I understand and agree to the following: By delivery of the Horse FETRP, I transfer complete ownership of the Horse to FETRP, which includes the care, custody and control of the animal, and the right to transfer ownership/registration to FETRP or to a person or organization adopting the Horse. FETRP shall have sole and full discretion on the care and disposition of the horse, to include making decisions on veterinary treatment or procedures; adoption of the horse to persons or organizations deemed suitable by FETRP’s determines suitable; or euthanasia. FETRP shall not be responsible for any fees, including boarding fees. FETRP will not pay any fees to past providers, and Owner will indemnify and hold FETRP harmless from any claim arising or lien asserted from such past care of the Horse. Liability and risk of loss remains with Owner until FETRP is in actual possession of the Horse. After acceptance of the delivery of the Horse, FETRP will provide a receipt acknowledging possession of the animal to the listed owner. FETRP is not able to provide an opinion on value, therefore Owner should arrange for the valuation of the animal prior to delivery, if a tax deduction is desired.

All matters arising from the horse entering FETRP will be construed under the laws of the State of Pennsylvania, and any action by either property shall be brought in a court of competent jurisdiction in Bucks County, Croydon. This Agreement contains the entire agreement of the parties and there are no promises, agreements, representations or warranties other than those contained herein or expressly incorporated by reference. This Agreement may be executed in counterparts by email or electronic signatures, which counterparts shall be fully enforceable as a single original document.

Horse Owner Signature

Signature field is empty.

Print Name

Date

Make a Donation with your application (optional).

$10

$20

$30

Donation does not affect status of application. All donations are greatly appreciated to help our current and future rehabilitation horses transition from their racing careers!