Lope Adoption Approval Form

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LOPE ADOPTION APPROVAL FORM
Your Name: ____________________________________
I am over 18 years of age: _______
Address: ______________________________________________________________________
City, State, Zip:___________________________________ Email: _______________________
Home Phone: __________________________ Work Phone: _____________________________
1. Do you understand that this is a racehorse off the track and has only had racing training and
that they need an experienced rider and someone capable of retraining them as riding horses?
2. If boarded other than at the above address, state name and address of facility.
Name of Stable or Farm: _________________________________________________________
Address: ______________________________________________________________________
City, State, Zip:___________________________________ Phone: _______________________
3.
Please rate your experience with Horse Care and Riding:
Horse Care: Very Experienced
Intermediate
Beginner
Riding:
Very Experienced
Intermediate
Beginner
4a. I have experience working with horses recently off the track:
Yes
No
4b. I will seek the guidance of an experienced trainer:
Yes
No
My trainer’s name and contact information for a reference:
Trainer’s Name:___________________________________ Phone: _______________________
5.
Name, phone and fax number of your equine veterinarian for a reference. If you do not have
a current equine veterinarian, please, contact LOPE.
Veterinarian’s Name:________________________ Name of Practice: ______________________
Phone: _______________________ Fax:_________________(Please note that contact is
made with your reference veterinarian by fax.)
6. Name and phone of your farrier for a reference:
Farrier’s Name:___________________________________ Phone: _______________________
7.
Describe the type of fencing the horse will be turned out in.
LOPE Texas Adoption Approval Form | Page 1 of 2

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