Dear Adopter,
Thank you for contacting us about your next horse! If you are interested in obtaining a horse or pony through BITS Horse Adoption, Inc. please read through the Adoption Agreement carefully. This is designed to protect the horses so BITS is assured of his/her proper care and location.
Once approved, we will notify you of your status. When a horse comes into the program that meets your criteria, we will notify you with the information. An adoption fee (listed on the horses page) is required for the horse you wish to adopt. Transport costs of the horse will be the adopters responsibility.
Please complete and return the attached forms so we can start the search for your adoption horse. The waiting time can be as little as a few days, to a week, or much longer after we verify and approve your application. The number of horses available to us for adoption varies from time to time, but rest assured we will only offer you a horse that fits your requirements. Once you complete the application, keep a copy for your reference and send the original to us.
We’ll do our best to contact you when we’ve located a horse matching your criteria. It’s advisable that you watch our website and stay in touch by email or phone so that we may best assist you with your continued interest in adopting a BITS horse!
Please take note of the sample Veterinarian’s Annual Check Up. This is a form we will send to you each year. Your veterinarian is required to fill out and return this to us after visiting for inoculations. It is our way of ensuring each of our placements is happy and well.
We look forward to working with you!
The Staff of BITS, Inc.
Back in the Saddle Horse Adoption, Inc.
Adoption Application
Name:___________________________________________________
Date of Birth: _____________ Age: ______ Date: _________
Address:________________________________________________
City:_____________________State: ________ Zip: _________
SSN: ____ - ____- ____
Driver’s License/State Issued: ___________________________
Email Address:____________________________________________
Home Phone: ( ) ________________
Adopter’s employer or company name (if self employed): __________________________________________________________
Adopter’s profession: ____________________________________
Work phone: (____)___________________
Address: _________________________________________________
City:_____________________State: ________ Zip: _________
Name of immediate supervisor: ___________________________
Number of years with employer: ___________________________
Work fax number: ____________________
Work e-mail: ________________________
Adopter’s gross income per year: ______________
Please check your preference and answer the following questions completely. If more detail is needed, please feel free to add your comments at the end of this application.
Please tell us how you heard of us: ____Newspaper/Magazine ____Internet ____Friend _____Other: _______________________
Preferences:
Name of the horse you are applying for (if known): ____________
1. Sex: Gelding Mare
Age of Horse: No Preference 3-7 8-10 11-13 14-16 16+
Color: No Preference Bay (more readily available)
Other Color: __________
Breed: Thoroughbred Quarter Horse Warmblood
Arabian Other: ___________
Size: No Preference under 14 hands 14-15 hands 15-16 hands 16-17 hands 17+
Bone Structure: No Preference Small Medium Large
Adopter’s Riding Experience:
2. Your height & weight: ____ft. ____lbs.
Height and weight of other person/people who will be riding:
____ft. ____lbs. ____ft. ____lbs.
3. Are you ____an experienced rider; ____somewhat experienced; ____limited in experience; or ____an inexperienced rider?
How long have you been riding horses? _______________
4. Use of the horse:
___ Dressage ___ Jumping ___Western
___ Trails/Pleasure ___ Lesson program ___Youth program
___ Handicap program ___ Companion ___Other
Please explain Other:
__________________________________________________________________________________________________________________________
How many times per week will the horse be ridden? __________
5. Please check all of the following that apply:
____ I am experienced and intend to ride and train by myself.
____ I would like to hire my own trainer or instructor.
____ I would like to hire a trainer or instructor, but do not
know of any.
6. How long have you taken lessons with a professional instructor? _________
If you use a trainer or instructor, or plan to use a trainer
or instructor, please provide their name and contact
information:
Name: _______________________________________
Phone: __________________________
Email: ___________________________
7. Have you been involved with organized horse groups?
Yes No If so, which one(s)?
_________________________________________________________
Responsibility for Care:
8. Have you ever been responsible for the care of a horse or
pony before? Yes No
If yes, how long ago and under what circumstances?
_____________________________________________________________
_____________________________________________________________
If you haven’t owned a horse in some time, will you be enlisting the help of an equine professional to work with you about care? Yes No
9. Please list any other large animals you now have, the type &
their names:
1) __________________________________________________________
2) __________________________________________________________
3) __________________________________________________________
10. Will the horse be boarded on your property? Yes No
If no, provide the name, address and phone number where you will board and have the barn owner/manager fill out the attached Boarding Addendum. Skip questions 13 – 15
Name: _______________________________________________________
Address: ____________________________________________________
City/State/Zip: ____________________________________________
11. Describe the stall or cover the horse will have: __________________________________________________________________________________________________________________________
12. What type of fencing does the facility have? (Please include
size of turn-out area)
_____________________________________________________________
_____________________________________________________________
13. How many hours will the horse be turned out each day? ______
14. Specifically, who will be responsible for daily care?
_____________________________________________________________
Is this person: ___experienced; ___somewhat experienced; or
___inexperienced in the care of horses?
If care is to be provided by persons who are not adults,
please list their names, ages, and the name of the person who
will be supervising them:
_____________________________________________________________
15. What type of hay will the horse be fed? _____________________
How much each day? __________________________________________
What type of grain will you provide? _______
How many times per day? _____
How is your grain stored? __________________________________
Do/will you provide clean water for your horses 24 hours per
day? Yes No What is your water source? ________________
16. What is your de-worming plan? How often? What type of wormer? ____________________________________________________
17. How often will/do you have your farrier trim or shoe? ____________________________________________________________
18. How often will/do you have your horse’s teeth floated?
____________________________________________________________
Knowledge of basic horse care:
List the signs of colic: __________________________________________________________________
__________________________________________________________________
What would you do if you notice these signs? __________________________________________________________________
__________________________________________________________________
If your horse is received in less than ideal weight or condition, what you would use to improve his body weight? __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
For what reasons would you call your vet? __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
What are some of the causes of sudden lameness and how would you handle them?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
What is founder and what would be the first clue it is occurring?
__________________________________________________________________
____________________________________________________________________________________________________________________________________
What would you do? __________________________________________________________________
__________________________________________________________________
____________________________________________________________________________________________________________________________________
How long should you wait after feeding to ride? ______________
_______________________________________________________________
How long should you wait after riding to feed? _______________
_______________________________________________________________
BITS Horse Adoption, Inc. requires references (please do not use immediate family members). To expedite the approval process, you may have your references fill out the attached Reference Form and fax or email it to us.
Vet name: ____________________________________
Phone number: ________________________________
Fax number: __________________________________
E-mail: _______________________________________
Farrier name:__________________________________
Phone number: ________________________________
E-mail: _______________________________________
Horse-related reference
Name: _______________________________________
Phone number: ________________________________
Fax number: __________________________________
E-mail: _______________________________________
Work-related reference
Name: _______________________________________
Phone number: ________________________________
Fax number: __________________________________
E-mail: _______________________________________
Civic-related reference
Name: _______________________________________
Phone number: ________________________________
Fax number: __________________________________
E-mail: _______________________________________
Directions to your farm or stable from the nearest major road or highway: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
BITS, Inc. requires pictures of the shelter and turn-out area where you intend to keep your horse whether this is at your farm or another facility. We would also like pictures of any other animals you own now. These pictures will be returned promptly if you include a self-addressed envelope. Better yet, e-mail us digital pictures that we can keep with your file!
Comment Section:
We would like to know what you believe is the "ideal" horse for you. We welcome any additional comments and description in the space provided.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
By my signature, I attest to the fact that everything stated in this application is true and factual and I understand any false statements can result in immediate removal of the adoption horse from my facility. Yes No
In addition, I understand that BITS, inc. may perform a background check on me to verify my personal information, including credit history, as well as to check for criminal convictions. Yes No
This Agreement and the rights and obligations of the parties hereto shall be subject to and shall be construed and interpreted under the laws of the State of Pennsylvania. The parties hereto shall consent to jurisdiction of the courts of Pennsylvania for all purposes and for any disputes arising under this Agreement.
________________________________________________ __________
Signature of Applicant Date
________________________________________________
Printed Name
BITS, Inc.
C/O Joni Fink
1313 Youngs Road
PA 17744
Phone:570-974-1087
Fax:866-869-6861
For your convenience this Reference Check can be mailed or faxed.
Reference check for: ______________________ (adopter’s full name)
Your name: ______________________________________________________
Phone number: _____________________________
Email address: ______________________________
How long have you known the applicant adopter? _______ (years) ______(months)
Check all statements that apply to your relationship with the applicant adopter:
___ I see the adopter in a social/professional/horse environment (circle one)
A. Daily B. Weekly C. Monthly D. Occasionally
___ I’ve seen the adopter feed, train, handle, ride, drive or perform health care on his/her horse
___ I consider the adopter a close friend
___ I consider the adopter a professional acquaintance
___ I can attest to the emotional and professional stability of
the adopter
___ I know this person always provides regular vet/farrier care,
worming, farrier and dental work done for his/her horse
___ I am the applicant adopter’s vet/farrier/trainer and know
he/she pays all bills in a timely manner.
___ I can attest to the fact the applicant adopter has the
understanding, training and desire to care for, train and
give an adopted horse a healthy productive life for many
years to come.
___ I am a civic or work reference and cannot directly attest to
the applicant adopter’s horse abilities, but can attest to
the fact he/she is honest, financially, emotionally and
personally stable, and is a caring person who loves horses
and has the desire to care for the adoptive horse for many
years to come.
Additional comments about the potential adopter: ____________________________________________________________________________________________________________________________________
By signing this form, you attest that these statements are true and factual to the best of your ability and you are not related to the adopter.
Signature: ___________________________ Date: __________________
BITS, Inc.
C/O Joni Fink
1313 Youngs Road
PA 17744
Phone:570-974-1087
Fax:866-869-6861
Please have this form filled out and signed by the boarding facility manager/owner if the adoptive horse will be boarded. It can be mailed or faxed back to BITS.
Boarding Facility’s Address
Name of the Farm/Stable: _______________________________________
Name of Farm Owner: ____________________________________________
Name of Barn Manager:___________________________________________
Street Address: ________________________________________________
City: _______________________ State: ________ Zip Code: ________
Barn Phone: ____________________________________________________
Email Address: _________________________________________________
Directions to the farm from the nearest interstate: ________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
General Information
How many horses live at this facility? ________ What are their sexes (circle all that apply)? mares geldings stallions
What is the main use of the horses boarded at this facility? ________________________________________________________________
What is the maximum number of horses allowed at the facility? _________
Food and Water
What type of hay are the horses fed? ___________________________
How much each day? _______________ How many times per day? _____
What type of grain will you provide? ___________________________
How many times per day? __________
Do you provide clean water for your horses 24 hours per day?
Yes No What is your water source? ________________________
Barn/Run In/Covered Shed
Do you have a barn? Yes No
Will the horse have a stall of its own? Yes No
What are the dimensions? ____ x ____
Are horses brought into the barn during inclement weather? Yes No
If you do have a barn, do you have run-in sheds? Yes No
What
are the dimensions? ____ x ____
Paddocks/Pasture/Turn Out Facilities
How many acres of turn out do you have? _________________________
What type of pasture do you have (e.g., grass, no grass)? ________
How many separate paddocks do you have on the property? __________
What are the sizes of the paddocks? ______________________________
How are the horses turned out? Together or Separately
If together, how many horses are turned out together at one time? _____________
What type of fencing do you have? _____________________________
Barn/Stable Veterinarian
Name: _________________________________________________________
Phone Number:______________________
Fax Number:________________________
Email Address: ______________________
Barn/Stable Farrier
Phone Number:______________________
Fax Number:________________________
Email Address: ______________________
Do you understand that BITS, Inc. will not pay any past due bills of adoption horses and that as a facility manager you must notify BITS, Inc. if the adopter fails to pay board on time? Yes No
Do you understand that ownership of the adopted horse remains with BITS, Inc, and no lien can ever be put on a BITS, Inc. adopted horse for non payment of board or any service you provide? Yes No
Do you understand the adopter can not sell or transfer their horse to another person without BITS, Inc. knowledge and written permission? Yes No
Do you understand adopters cannot change the horse’s location without prior approval from BITS, Inc.? Yes No
____________________________________________
Signature of boarding facility manager/owner
_________________
Date
Name: _________________________________________________
Address: ______________________________________________
City: _______________________ St ________ Zip __________
Date Horse was visited/seen: ___________________________
Reason for visit: ______________________________________
A few comments regarding the horse’s over-all condition:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Vet’s Signature: _____________________________
Please mail or fax to:
BITS, Inc.
C/O Joni Fink
1313 Youngs Road
PA 17744
Phone:570-974-1087
Fax:866-869-6861
