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  BAHRhorses

 RAVEMAN’S GELDING CRUSADE APPLICATION

 

 

Begin Again Horse Rescue (BAHR) is a 501 (c) 3 organization that raises funds and seeks donations to help horses in need. We accept applications from individuals within a 2 hour radius of our farm located in Lima, NY. BAHR does not have a grant season. As long as we have the funds to approve grants we accept applications to assist in the cost of castration/gelding.

 

Instructions for grant submission:

You must be at least 18 years old to apply. Please answer each question thoroughly. If the application is filled in by hand please use blue or black ink and print legibly. Be sure to submit the application with original signature and initials. Please include a photograph(s) of the horse(s). for which assistance is sought. The term horse on this application refers to any equine.

 

Please be sure to contact your references prior to submission of this application to get their permission to use them and also to give your permission to release information to us. Our normal turn-around time is 2 weeks, but a lot of that depends on the number of applications we have in process and how responsive you and your references are to our inquiries. Also please be aware that incomplete applications will not be processed so please be sure to read and follow these directions. Once you have completed your application, return it to us in one of the following ways:

 

 Scanned via email (preferred) to info@beginagainrescue.org

 Postal Mail: Begin Again Horse Rescue * PO Box 28 * Honeoye, NY 14471

 

 

Application

Applicant Information

Name: of Horse ___________________Breed_______________________Age: _______________________

 

Are you at least 18?     Yes       No

 

Applicant is: (Name of individual applying for assistance  _____________________________________________________

 

Current address: ________________________________________________________________________

 

City& St: ZIP:                                                                            Phone:__________________________

 

E-mail Address: _________________________________________________________________________

 

Amount Requested (please attach applicable documents/quote) : __________________________________

 

Number of horses/ equines you are financially responsible for?   __________________________________

 

Number of animals you are financially responsible for? __________________________________________

 

Where is the horse kept?       your property           full board           self care board

 

other (please explain)  ___________________________________________________________________

 

If horse(s) reside(s) on your property, how many acres of turn out do you have?  ____________________

 

What type of shelter do you provide? ________________________________________________________

 

Veterinarian Name: ___________________________________________________________

 

Address: ________________________________________________________________________________

 

City:                                                               State:                               ZIP Code: _________________

 

Phone:                                                            E-mail: _________________________________________

 

 

Farrier Name: ________________________________________________________________

 

Address:  ________________________________________________________________________________

 

City:                                                              State:                               ZIP Code: __________________

 

Phone:                                                           Email: ___________________________________________

 

 

 

 

 

 

 

 

Application (cont.)

 

 

Equine Professional Reference Name:

 

Address:   ___________________________________________________________________________

 

City:                                                              State:                              ZIP Code: ______________

 

Phone:                                                           Email: _______________________________________

 

 

 

If horse(s) are boarded please provide farm information below:

 

Farm Nmae:                                                    Owner/Operator: ______________________________

 

Address: _____________________________________________________________________________

 

City:                                                              State:                             ZIP Code: _______________

 

Phone:                                                          Email: ________________________________________

Further Terms

 

As part of the application please include a narrative with the following information:

 Description of the horse including age and known physical issues/ailments

 How long you've had the horse, and what your future plans are for the horse

 Why help is necessary

 If BAHR does not grant the entire amount requested, where the additional funds will come from

 If an award is granted, how future needs/emergencies will be met

 Brief description of your experience with horses

 How many horses have you owned previously and what is their current status (sold, deceased, euthanized, leased, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application (cont.)

 

 

Please initial after each, indicating you have read and agree to these terms:

 

Submission of this application does not guarantee a payment of funds. A representative of Begin Again Horse Rescue will contact you and a visitation may be required before a decision has been made. Payments of funds to support horses will be made directly to the veterinarian performing the procedure.  X__________

 

Begin Again Horse Rescue reserves the right to rescind a pending grant if we find application information has been misrepresented or actions not in the best interest of the equine are observed.  X__________

 

Begin Again Horse Rescue requests updates on horses we support. Where reasonable, a representative will also visit the horse(s) being supported.  X_________

 

Begin Again Horse Rescue requires that grant recipients volunteer at the BAHR farm for a minimum of 24 cumulative hours  and/or hold a BAHR fundraising event within one year of receiving funding or recipient agrees by initialing this statement that restitution will be made in full within a year of funds being used . X________

 

Begin Again Horse Rescue retains the right to use pictures and information regarding the assisted equine on our forum, website, BAHR newsletter, in press releases, future BAHR brochures or promotional items. X_________

 

X_________Any legal action against BAHR will be taken in Livingston or Ontario Counties, NYS.  BAHR will not be held liable for any unsatisfactory results of this gelding surgery.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 For BAHR Office Use Only:

 

Amount awarded:                                  Date Awarded:

 

Payee:

 

Date paid:                                             Method of payment