Chapter One Farms offers SERVICES for the Retired and Aged Equine. Now a 501(c)(3) status. Ready to accept Horses. we are nearly full. If considering retirement please call us to make a reservation.
At time of admission, the owner will sign a contract thereby relinquishing all rights to the equine.
Chapter One Farms has a one-time entrance fee, due at time or before of arrival, based on the equine’s age. The entrance fee is: 20 to 23 years of age - $12,000 plus additional $1000 for each year under 24/ 24 years or older - $12,000 ******************** There is a non-refundable application fee of $100 to help defray administrative cost, which should accompany this Application. This fee will be deducted from your admittance fee when your horse retires at Chapter One Farms. Please make your check payable to Chapter One Farms Equine Retirement, Inc. CHAPTER ONE FARMS HOME FOR RETIRED AND AGED EQUINES Application: Must be on file to reserve a spot. OWNER’S NAME: __________________________________________________________ ADDRESS: _________________________________________________________________ PHONE: _________________________ ALT PHONE: ______________________________ EMAIL: ____________________________________________________________________ Horse’s Full Name: __________________________________________________________ Horse’s Nickname: ____________________________ Breed: ____________________ Date/Year Born: ______________ Sex: £ Gelding £ Mare Height: ____________ Printed Owners Name: _____________________________________ Date________________________ Owners Signature: _____________________________________________________________________ Owners Signature: _____________________________________________________________________ CHAPTER ONE FARMS FOR RETIRED AND AGED EQUINES Requirements at Time of Admission (To be completed and sent in once stall availability is confirmed) 1. The Equine must be at least 20 years of age at the time of admission 2. A Health Certificate must be provided at time of admission. o Name of current vet: ______________________________ o Contact Information: ____________________________________ 3. Horse must be up to date on the following vaccines: Rabies, EWT, West Nile and Flu-Rhino vaccinations. Please note that these are the vaccinations given at Chapter One. The former owner assumes the cost of any additional vaccines they wish the horse to receive. o Date of Rabies vaccination:_______________ o Date of EWT vaccination:_____________________ o Date of West Nile vaccination:__________________ o Date of Flu-Rhino vaccination: _________________ o List any additional vaccines given: _______________________________ Negative Coggins test within one year of admission o Date of test:__________________ 4. ACTH test must be completed within 6 months of admission o Date of test_________________ 5. Deworming must be done within 30 days of admission. Date of deworming:_____________ Dewormer used:_____________ 6.Teeth must be floated and checked within 6 months of admission Date of floating:_________________ Who completed the floating:____________________ Contact information: _______________________ Was the horse in need of sedation? ______________ 7. Chapter Farm requires that shoes be removed prior to admittance, and that feet are trimmed within a six to eight week time frame. Shoes should be removed immediately after your acceptance of the available opening for your horse. If shoes need to remain on, the former owner accepts responsibility for cost of shoes for the lifetime of the horse. Date shoes were removed:________________________ Date of last trim:__________________________________________________ Name of Farrier:__________________________________________________. Contact information: ______________________________________________ 9. Please list current feed and any supplements or medications: Feed: _______________________________________ Amount: _____________________________________ Supplements: _________________________________ Hay Other: Should the horse have a prior medical condition requiring medicinal supplements the owner assumes all cost for the lifetime of the horse. 9. Should a medical condition occur under Chapter One’s care, may we contact you to help defray our costs? No Yes Please sign your Initials ______ 10. Please describe current turnout arrangement Does the horse usually reside outside 24/7 or is stalled at night? 11. Are there any restrictions, if so please specify: Does the horse have any particular behaviors or unusual habits? Please describe Does the horse have any particular fears? Dogs? Cows? Other? Have they been turned out in a mixed herd? Please answer the following, providing details and dates where applicable: 12. Does the horse have any known allergies? No Yes If yes, what allergies?_____________________________________________________ 13. Does the horse have a history of navicular, laminitis, or founder? No Yes If yes, please explain 13. Has the horse ever been de-nerved? No Yes if yes, please explain and give dates 14. Has the horse received any joint injections, any type of medication or any preventative treatments in the last 24 months? No Yes If yes, please explain: 15. Has the horse ever undergone diagnostic ultrasound, X-Ray or MRI or received any surgical treatment for lameness? No Yes If yes, please explain: 16. Has the horse had any colic, impaction, colic surgery, or intestinal disorder within the last three years? No Yes If yes, please explain 17. Has the horse ever suffered from melanomas, sarcoids or any type of growth? No Yes If yes, please describe: 18. Has the horse been examined or treated by a veterinarian for other than routine care in the last 12 months? No Yes If yes, please explain what for and why 19. Has the horse undergone prolonged (more than 14 days) treatment for illness or injury in the past three years? No Yes If yes, please explain 20. Has the horse been treated with Banamine, Bute, or any other anti-inflammatory drugs within the last year? No Yes If yes, please explain why: 21. Does the horse have any dental problems (extremely poor or missing teeth)? No Yes If yes, please explain Please provide any other applicable information: _______________________________ Signature of Owner _______________________________ Date__________________ Do you plan to regularly visit? |
|
Make a donation to support older and rescued horses. We welcome visitors and service projects. See what’s new...