Donor Application

Bright Futures Farm - 44793 Harrison Road, Spartansburg, PA 16434

tel: (814)-827-8270 - fax: (814)-827-8278 - e-mail: info@brightfuturesfarm.org

Dear Donor,

Thank you in advance for helping your horse find a safe home for the remainder of his/her life. We understand that this is an emotional decision for many of you, but a necessary one as well. Please be certain you are ready to “let the horse go” prior to signing our Donor Questionnaire/ Equine Donation Contract. If you are even slightly unsure about your decision to donate, do not forward the paperwork to our office. Once you are sure, sign the contract, and we indicate acceptance of your horse into our program, ownership of the horse lies with Bright Futures Farm and we will begin the search for a new home for him/her.

While your horse is in our care – at our main facility or any one of our pre-screened, approved foster farms, he/she will receive lay-up (if required), turnout, supplements, veterinary, dental and farrier care as necessary, rugs in winter, regular clipping, bathing, daily handling, and schooling if necessary. Once adopted, we require that the adopter provide us with quarterly photos of the horse which we will forward to you if you would like periodic updates on the horse you have donated.

The welfare of the horse is always first and foremost in our minds and hearts. Bright Futures Farm is committed to making the best “fit” possible between horse and adopter to alleviate stress on everyone – especially the horse. You are welcome to download and read our adoption application and contract from our web site - forms that each potential adopter must complete in total prior to being approved to adopt any horse in our program. Our adoption process is extensive for a reason. We want the best home only once for each horse.

For this program to work, it is vital that you provide us with as much information as you can about the horse you are about to place with us – both good, and not so good. By knowing your horses' history we can work with him/her while at our farm or foster farm. We want to make the right “fit” only once to alleviate stress on everyone involved - especially the horse. Again, if your horse is accepted into our program, your signature on this document (the Donor Questionnaire/ Equine Donation Contract) transfers ownership of your horse to Bright Futures Farm upon our receipt of this document. We understand that this is a difficult decision for many of you to make, so please be certain that you have made the right decision in your own mind to relinquish your horse to a new home prior to sending us this form. We do not want a potential adopter to choose a horse, and then complete our application and contract only to find that the horse has been sold/given away/placed through another organization. Once you sign the contract, ownership immediately transfers to Bright Futures Farm. At the time ownership transfers, you acknowledge that you have entrusted our organization to find a new home for your horse. Therefore, you can no longer continue to search for a home for your horse on your own or register your horse with another organization ( you may, of course, direct any interested parties to us).

Bright Futures Farm is a non profit organization, which means that you may deduct the fair market value of the horse you are donating to our program and any cost associated with transferring the horse to us (temporary fostering while waiting for transport, transport, coggins, etc.). A copy of your signed Donor Questionnaire/ Equine Donation Contract serves as your receipt, as we ask you to indicate the fair market value of your horse on this document. Horses with a fair market value of $5000 or higher must be appraised by a current member of the American Society of Equine Appraisers, and a copy of the appraisal must accompany your donation contract (www.equineappraiser.com) – not our rule, the IRS’s. You will also need to retain a copy of any appraisal for tax purposes.

Because you have chosen to place your horse through an adoption agency, such as Bright Futures Farm, we can assume that you love your horse and that you believe in our mission, purpose and our organization. Since we operate strictly from adoption fees, donations and fundraisers, we ask that you also make a monetary donation to our organization. AT any given time, we have between eight and ten horses at our main facility. The “average” cost to care for a healthy horse is $120 a month. Most of the horses here come with an injury, or need a supplement or medication. Some are under weight. Every penny of every dollar goes to the care of the animals and whatever supplements/vet care it takes to make them healthy. I am not paid for the work that I do here, nor is anyone else. All help is voluntary. Your monetary donation is also tax deductible. Our annual expenses are between $30,000 and $37,000 a year. A horse is with us a minimum of three months prior to finding a new home. We evaluate the horse, school the horse in ground manners (at the very least) and give the horses off the track a break and rest prior to starting a new career. Therefore, we respectfully request a minimum donation of $400. This donation is also tax deductible.

If the horse remains with you for any time once you have donated him/her to us, all of your expenses that are directly associated with that horses’ basic care may also be considered a donation to our program for tax purposes (you would be “fostering” the horse for us). IF the horse is going to be transported to our main facility or one of our foster homes, you will be required to provide transport, or hire a transport company to deliver the horse.

Because you have chosen Bright Futures Farm to find your horse a new, safe, home, you think highly enough of us to entrust his/her care to us. Please, then, help us continue to provide quality care for the horses in our program, with your financial contribution.

Thank you for your kindness, consideration and generosity toward your horse and our program.

Best regards, always,

Beverlee Dee

Bright Futures Farm

EQUINE DONATION CONTRACT

This questionnaire is designed to provide us with as much information as possible about the horse(s) you are placing into our program. By answering all questions as completely as possible, we can better transition each horse into the best home for that particular horse.

Your donation ensures that the horse will always have a loving home. And your donation is tax deductible (fair market value of the horse). We are a 501c3 non profit organization registered with the federal government.

= = = = = = = =

1. Your name __________________________________________________

Address ____________________________________________________

City, State, Zip _______________________________________________

Phone ______-________-___________ Fax ______-________-______

Second phone number (e.g. work/cell): ____-_____-___________

E-mail address _______________________________________________

2. Horses registered name (required if registered) __________________________________ Date foaled ________

Nickname ______________________________

Sire __________________________________ Dam ______________________

If the horse is a grade horse, what do you know about his/her parentage? ____________________________

____________________________________________________________________________________________________

Breed ________________________________ Age ____________ Sex ______

Height _________________ Weight ________________ Color ____________

Markings__________________________________________________________

Scars_____________________________________________________________

Are you the owner of record? _______ If no, who is? ___________________________

Address of Owner (if you are not the owner of record: __________________________________________

__________________________________________ phone #: ______-________-______________

NOTE: Owner of record or authorized agent, must sign this form AND the owner of record OR authorized agent’s information must appear in question #1.

Where is the horse currently stabled? ___________________

If stabled at your home/farm, how long has the horse been there?________________________

What is the current turnout situation for your horse? ________________________________

_____________________________________________________________________________________________

Is this what the horse is used to? _____________________ If no, explain: __________________________

____________________________________________________________________________________________

If currently stabled somewhere other than your farm/home, provide the following information:

NAME OF FACILITY WHERE HORSE IS CURRENTLY STABLED: ________________________

HOW LONG HAS HORSE BEEN AT THIS FACILITY? __________________________________

ADDRESS OF FACILITY: __________________________________________________________

__________________________________________________________

PHONE: ____-_____-__________ CONTACT PERSON: __________________________

IF HORSE HAS BEEN AT CURRENT FACILITY LESS THAN THIRTY DAYS, WHERE WAS HORSE STABLED PRIOR TO THIS (NAME, ADDRESS, PHONE)? _______________________________________________________________________________

3. Registration/tattoo/brand number/chip id: (Required) ________________ Association: _______________

For Thoroughbreds, you must include the registration papers as we receive a grant from Blue Horse Charities (www.bluehorsecharities.org) and Thoroughbred Charities of America (www.thoroughbredcharities.org) each year based upon the registered Thoroughbreds we place into new homes. Directions for signing the horse over to Bright Futures Farm are at the end of this contract.

4. Is the horse sound? ___________________ If no, please explain __________

_________________________________________________________________

Date the horse was last ridden:___________________type of riding done: _________________________________

5. If the horse you are placing with us is recuperating under a veterinarian’s instruction, or has been sick or injured in the past, please notify your veterinarian and farrier in writing, that you authorize the release of their records for your horse to Bright Futures Farm. This information will ensure that we continue any treatments that they may have started, and will allow us to determine what progress the horse is making with respect to specific treatment. Please authorize our vet (Dr. Amanda Turner, Marley Veterinary Clinic, 11416 Hydetown Road, Titusville, PA 16354) to obtain access to any x-rays or ultrasounds that have been done to assist us and our veterinarian with continued treatment. This information helps us keep expenses at a minimum, and provides a starting point for our vet w.r.t. ongoing physical issues. To expedite our receipt of this information, you may contact your veterinarian and farrier requesting that they forward all records (and x-rays, etc., where applicable) to Amanda Turner, Marley Veterinary Clinic, 1416 Hydetown Road, Titusville, PA 16353). And, please provide us with the following information (if the horse is being treated at this time).

Veterinarian ___________________________________ phone __________________

Farrier ________________________________________ phone __________________

6. Please attach a copy of the current coggins. Must be no less than six months old. If horse is being transported across state lines, we will also need a Health Certificate. Health Certificates must be issued within thirty days of transport date.

7. Please list all vaccinations the horse has had within the last twelve months, and the date of administration

__________________________________________________________________________________

8. Has the horse ever worn corrective shoes? ______ Explain ___________________

______________________________________________________________________

9. Has the horse ever had surgery? _______ Explain ___________________________

10. Has the horse ever had colic? ______ Explain ______________________________

11. Do you wish to be provided with periodic updates regarding the horse you have donated? ___

12. What is the degree of schooling the horse has had to date? __________________________________________

____________________________________________________________________________________________________

13. Please check all that apply:

This horse will/is . . .

____Stand tied ____Stand in cross ties ____Kick

____Walk with you ____Come when called ____Strike

____Bite ____Load/unload ____Well

Mannered

____Crib ____Know leads ____Easily

trained

____Good w/other horses ____Child safe ____Picks up

feet

____Good w/vet ____Bucks ____Spooks

easily

____Has foundered ____Jumps ____Has

colicked

____laid back ____Has had navicular pbs ____Has had

stifle pbs

____Gaited ____Likes people ____Sensitive

skinned

____Clumsy ____Clips ____Bathes

____Sensitive feet ____Even tempered ____Arthritic

____Good alone ____Needs companion ____Longes

____Trained to ride ____Trained English ____Trained

Western

____Good in stall ____Drives ____Fully

halter broke

14. Has the horse ever had a virus/disease? ____ explain (and provide dates) ____________________________________________________________________________________________

15. Is the horse sensitive to specific weather (i.e. sun, cold)? ______________________

Is the horse used to being blanketed in the winter? ______ At what temperature do you

blanket him/her? ___________________________________________________

16. Has the horse ever been lame? ____ explain (again provide dates)_______________________

________________________________________________________________________

17. Does the horse have any sensitive areas on its body? _________________________

________________________________________________________________________

18. Has the horse ever had a prolonged illness/injury (more than 30 days)? _______

explain (please provide dates)_____________________________________________________________

Has the horse been ill in the last sixty days? Explain: ________________________________________

___________________________________________________________________________________________

19. Does the horse have any known allergies? __________________________________________________

20. Does the horse have a history of hives? ___________ explain __________________________________

___________________________________________________________________________________________

21. Current feed/times/amount _________________________________________________________________

What supplements, if any does your horse receive, and how often?_______________________

__________________________________________________________________________________________

22. What does the horse do when scared? ______________________________________________________

Does the horse have any issue with loading/unloading? ________ If so, explain the issue, and

what you do to rectify it? _______________________________________________________________________

___________________________________________________________________________________________

23. What do you consider this horse’s best trait(s) ________________________________________________

_________________________________worst trait(s) ______________________________________________

___________________________________________________________________________________________

24. We require at least two clear, good quality color photos of your horse working under tack, at least one

with no tack (conformation type photo), and one head shot. The better the photos, the more interest we will receive from potential adopters.

“OUR” DEFNINTIONS FOR RIDER/HANDLER SKILL LEVEL:

Each of us has a different interpretation of what a beginner rider/handler is, an intermediate and an advanced individual. It’s all relative to what you’re used to, and what you’ve been taught. Please follow our definitions when you rate your horse in question 33, even though your definition may be different than ours. We use “ours” when we write the bios for each horse, and we need to be on the same page for potential adopters with each one.

Beginner: never ridden; ridden well trained, slow, or very forgiving horse; can sit the walk and trot, but may be uncomfortable or stiff due to even minimal fear of a sudden surprise; doesn’t know leg, hand or weight cues well; Can lead a horse, but doesn’t know what to do to discipline if the horse doesn’t just follow along, or decides to go off in his own direction; would panic if a horse tried to pull away, rear or buck; screams or yells when a horse surprises them; doesn’t know the rules of safety with regard to walking, standing beside, working around a horse.

Advanced Beginner/Early Intermediate: knows leg and hand cues, some weight cues. Can sit all gaits relatively comfortably, but may not be able to balance a buck, or know what to do if a horse bolts; Hasn’t developed enough strength in arms to hold a strong horse back; hasn’t developed enough strength in legs to move an obstinate horse or hesitant horse forward; Knows leads; knows how to post; knows how to sit a horse that bucks, even if they aren’t yet able to balance the movement well; may have started over cavelettis; knows safety with regard to handling, walking, working around horses; horse can do something that surprises them, but they don’t get easily rattled, and can sit the issue through and know how to attempt to calm the horse.

Intermediate: Knows cues well; can ride all gaits very comfortably; Can sit a buck; Can sit a rearing horse; knows what to do if holding a horse that rears; knows how to handle a horse that bites or kicks; has strength in arms to handle a strong horse, or stop a bolting horse; Has strength in legs to cue a non responsive horse; may have started jumping and can balance a jump comfortably; doesn’t spook when the horse does and can immediately begin to calm a horse that is afraid; can anticipate changes in behavior when riding or handling a horse and knows how to react to maintain control of the situation.

Advanced: skilled professional. Can do all of the above and more.

I have completed the donor questionnaire, and do hereby certify to the best of my knowledge that the information I have supplied to Bright Futures Farm about said horse is correct. Furthermore, I warrant that if Bright Futures Farm accepts my horse into their program, that Bright Futures Farm has a good and clear title to the horse, free from any liens, encumbrances and claims by third parties to said horse. And finally, upon acceptance of my horse into the adoption program at Bright Futures Farm, I do hereby transfer this horse to the care of Bright Futures Farm (with or without “papers”), who, in turn, will find a suitable home for my horse to be adopted into. Your signature confirms the donation and transfer of care of said horse to Bright Futures Farm.

I have determined the fair market value of the horse I am donating to be: $___________________

I agree that if my horse is accepted into the adoption program provided by Bright Futures Farm that I will provide a monetary donation of at least $400 to Bright Futures Farm, and that I will provide transport of the horse to Bright Futures Farm or one of their approved foster facilities if there is an opening. _____________(initials). I understand that there may be a waiting list, and that I will be advised of that if my horse is accepted. If there is a waiting list, you may foster the horse for Bright Futures Farm until either we have an opening, or the horse is adopted. [Again, all of your expenses directly related to this horse from the date you donate him/her may be tax deductible as a charitable contribution as we are a registered 501c3 charity.]

Once we receive your completed application we will contact you to confirm, in writing, our acceptance of your horse into our program. Once all paperwork is in order we will begin the search for a new home for your horse.

In summary…

Once you sign this contract, you transfer ownership of the horse to Bright Futures Farm if we accept the horse into our program. The only way to “get the horse back” if you still change your mind, is to complete the adoption process through our organization.

Please include the following documents with this document…

Negative coggins, no less than six months old (copy only. Original is shipped with the horse)

Health Certificate (if being transported across state lines to be dated within 30 days of transport)

Photos as described in item 24 above (can be emailed in .jpg format).

Registration papers for all registered horses, or original bill of sale (make yourself a copy if you want).

Any additional comments you’d like to include about the horse you are donating.

Directions for transferring ownership on registration papers: For Thoroughbreds and Standardbreds, simply write below the transfer, diagonally across the remaining spaces: “Donated to Bright Futures Farm, Adoption Agency. Not to be raced, or sold.”

You must provide the transportation (or cost of) of your horse to our farm or the satellite farm that will accept him/her.

Finally, back shoes must be pulled unless they are there for health reasons.

I have read, understand and assent to the terms and conditions herein. I understand that this document is a binding legal contract, and I further understand that my signature automatically transfers ownership of the horse mentioned herein to Bright Futures Farm immediately.

__________________________________________________ date ______________

donor

Thank you for your kindness and generosity

Rev. 01012006