1. Paste and copy this form onto your
computer
2. Fill it out
3. Send it back by
e-mail
or by mail to Miller's, PO Box 14254,
SLO CA, 93406
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Miller’s Equestrian Center and Sanctuary P.O Box 14254 San Luis Obispo, California 93406 PH. 805-235-3834 DOWNSRS@SBCGLOBAL.Net ______________________________________________________________________
APPLICATION PROCESSING
All information and references submitted on this application may be reviewed by our staff and in signing it you are agreeing to the terms within. Horses are NOT placed on a first paid first placed basis; the right home is what we want for our horses. We will do site checks twice a year on all adoptions for Miller’s Horses.
YOUR INFORMATION:
Name First and Last: ___________________________________________
Email address: ___________________________________________
Telephone ___________________________________________
Cell Phone # ___________________________________________
Address: ___________________________________________
Employed by ________________________ Title _______________________
Address __________________________________Telephone_______________
REFERENCES: 1._______________________________________________________________
Telephone__________________
2._______________________________________________________________
Telephone__________________
3._______________________________________________________________
Telephone__________________
Please circle.
I currently own a horse / burro.
I have / have not owned a horse / burro.
The equine veterinarian who will care for this animal is:
________________________________________________________________
Address__________________________________Telephone__________ The type of corral or stall which will be provided
is:_________________________________________(size___________)
The horse will be kept at this address: Boarding or Residence? Circle one please.
____________________________________________________________
Telephone______________________Business hours______________
The daily feeding will be done by __________________.
The boarding facility is ________miles from my residence.
DESCRIPTION OF HORSE TO BE ADOPTED: Be sure to list the horse’s name and description here including location.
Price Worksheet:
Adoption Price of horse $__850.00________________
Donation $_______________________
Shipping fees if applicable $_______________________
Total Due $ ______________________
Waiver of Liability
By signing below, the buyer understands that Miller’s makes no representations or warranties concerning any horse offered for adoption through the programs, including but not limited to the condition, health, temperament, soundness, or fitness for particular purpose. Buyer understands and agrees that Miller’s, its officers, directors, representatives, volunteers, agents, servants, and assigns, are not liable for any representations or misrepresentations concerning any horse offered for adoption through this program; all information listed on the website via www.millersecs.org, and/or divisions thereof, regarding any particular horse is based solely on information provided by the previous owners or authorized caretakers.
I, (adopter), do hereby release Miller’s, its officers, directors, representatives, volunteers, agents, servants, and assigns (collectively “Releases”) of and from any liability arising from representations, misrepresentations, care and handling of the horses offered for sale via www.millersecs.org, or any divisions thereof. I further agree that Releases are not liable for the mistakes and/or negligence and/or intentional acts of service providers and/or contractors such as livestock haulers, veterinarians, or handlers who may at any time be in the care, custody and control of the horse I am adopting. I understand that I may pursue claims against such third parties for any damages caused by mistakes, negligence and/or intentional acts of such third parties during the time that my horse is in their care, custody and control.
Signed Date
Agreement
Signing this application authorizes Miller’s (Miller’s Equestrian Center and Sanctuary) to contact the above listed references and inquire about your equine experience. It is agreed that the said animal will not be offered for sale ever but returned to Miller’s free of charge when no longer wanted or useable. Miller’s will come and view the horse twice a year to assure good treatment and conditions. Adopters are to make changes as suggested by Miller’s in the case of proper care of the animal. Miller’s needs to be notified by the owner if the animal has a serious injury or dies. Miller’s may help out with injuries or conditions that are life threatening. Ginger is being adopted out with a notification of BREEDING Clause, she is for Trail riding or Western/English Pleasure only, no roping or barrels or excessive work. In the event the undersigned fails to comply with the terms of this Application and Agreement, Miller’s reserves the right to commence legal proceedings to recover the horse, and the undersigned shall be liable for all costs, inclusive of attorney’s fees, in connection with such legal proceeding.
This offer is accepted by: Signed_________________________________________ Date________
*Buyer signature warrants that they buyer is at least 18 years of age at the time of signature and acknowledges receipt of the Processing Terms and Conditions contained within this agreement.
Office Use Only
Approved: Date: _________ Miller’s Equestrian Center and Sanctuary, Authorized Representative
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