EXPRESSION OF INTEREST - PURCHASING AN OTTWA HORSE (AWF012)

Thank you for your interest in purchasing an Off the Track WA (OTTWA) horse. We will keep your application on file and a member of the team will be in touch with you to discuss any suitable horses should they become available. If you are submitting for a specific horse, YOU WILL ONLY BE CONTACTED if your details match the profile required for that particular horse. Please note that completion of an expression of interest does not guarantee purchase of an OTTWA horse, all efforts will be made to match an owner/rider to a suitable horse within the program, however this remains at Racing and Wagering Western Australia’s (RWWA) discretion.

SECTION A – CONTACT DETAILS

Applicant's first name *

Applicant's last name *

Street Address *

City *

State *

Postcode *

Postal Address if different to above

Phone Number

Email Address *

Mobile number *

Date of Birth *

If under 18, please provide Parent/Guardian's details

Parent/Guardian name

Parent/Guardian mobile

Parent/Guardian home phone

SECTION B – YOUR HORSE EXPERIENCE

Please note this section relates to the primary handler/rider –if you intend on sharing the care or riding obligations for your horse please advise the Retraining and Rehoming Coordinator.

Have you owned or leased a horse before? *

If yes, number of years

Have you ever had a horse removed from your care? *

If yes, why?

Will the horse be kept at your property? *

If yes, please provide property details i.e. size, paddocks, stables, yards

Do you have relevant approvals to keep a horse at your property? E.g. council approval, in rental agreement etc.

Do you have a Property Identification Code (PIC)?

If yes, PIC number:

Do you own other horses? *

If yes, please provide details:

Do you have other animals on the property e.g. dogs? *

If yes, please specify:

If not kept at your property, will your horse be kept at agistment?

If yes, what type of agistment:

Name of Agistment Centre:

Address of Agistment Centre:

Please advise intended accommodation for horse if not either of above:

How long since you last rode a horse? *

How would you rate your riding experience? *

Please write a short blurb about your riding experience: *

Have you ridden an off the track horse before? *

If yes, which breed?

If yes, number of years?

Please rate your confidence level for handling a horse: *

Please rate your confidence level for riding a horse: *

Do you have an instructor? *

If yes, who?

Are you happy for us to contact your instructor for a reference? *

Instructor's contact number:

If you don't have an instructor that we can contact for a riding reference, please provide the details for another reference contact:

Reference name: *

Relationship to reference: *

Reference contact number: *

Will somebody other than your instructor be supporting your development of the horse? *

If yes, who?

Have you completed any studies/qualifications relevant to managing/maintaining a horse? *

If yes, please provide details:

SECTION C – HORSE DESIRABLES

Are you interested in purchasing a horse prior to retraining?* *

* Please note horses sold prior to commencing retraining and education under the auspices of the Off the Track WA Retraining Program have had an initial evaluation only. Horses sold prior to commencing retraining have not been assessed by a retrainer for tractability and education (under saddle or on ground), nor have they had any additional training or education whilst in RWWA’s care, therefore are sold on an ‘as is’ basis.

Is there a specific horse currently in the care of OTTWA that you are interested in? *

If yes, specify which horse

What breed of horse are you looking for? *

Which height would best suit you? *

Do you have a preferred age range for the horse? *

If yes, list age range

Are you seeking a particular gender of horse? *

What is the intended primary use for the horse? *

If other, please specify discipline

* Note cannot be used for breeding racing animals

If seeking a competition horse, for what discipline/s?

And, if applicable, at what level?

Is the horse required to travel in a specific type of float? *

If yes, straight load or angle load

Can you manage/tolerate any vices? *

If yes, select which ones:

What temperament/s are you confident with? *

Please select your preferred budget range: (minimum price of $1500 for horses in retraining). *

If you purchase a horse through the OTTWA Program, we recommend that you have a pre-purchase vet check completed.

*

Please tick the box to acknowledge your understanding of this recommendation.

Please provide any other relevant information in relation to the horse you are seeking:

SECTION D –DECLARATION AND SIGNATURE

I declare that I have completed this expression of interest form honestly and to the best of my knowledge, all information included herein is true and correct. I understand that this does not guarantee ownership of an OTTWA horse and is subject to further assessment.

Owner/Rider signature *

If you require assistance with completing this form, or require further information on purchasing an OTTWA horse, please contact the OTTWA Retraining and Rehoming Coordinator on 9445 5371.