Farm Animal Adoption Application

Full Name: *
Street Address: *
City: *
State: *
Zip Code: *
County: *
Home Phone: *
Cell Phone: *
Work Phone:
Email Address: *
Current Employer: *
Employer Address: *
Employer Phone Number: *
Years With This Employer: *
Please list at least two animal protection agencies to which you belong, including address and phone numbers.: *
May sanctuary adoption officers visit your home?: *
Are you vegetarian or vegan?: *
If no, please explain:
What is your marital status?: *
Annual Household Income: *
How many children do you have?: *
List ages of all children: *
Please list all farm animals currently living under your care: *
If you do not currently own any farm animals, please describe your experience with their care:
Do you own the property where the animals will live?: *
Please describe your housing accommodations for farm animals: *
Please describe your fencing and acreage/pasture available for farm animals: *
Current Veterinarian Name: *
Veterinarian Address: *
Veterinarian Phone Number: *
Does your veterinarian treat farm animals?: *
If your animals should become sick, can you afford veterinary care?: *
Please list the animal(s) that you are applying to adopt: *
	By checking this box, you certify that you are over the age of 18 and all information contained in this application is truthful to the best of your knowledge.
Adoption Donation Fees: Pig $150.00 Goat $150.00 Sheep $100.00 Turkey $50.00 Rabbit $50.00 Duck $20.00 Chicken $20.00 Goose $20.00 Thank you for your interest in adopting from us, your application will be carefully reviewed and questions may be asked before approval.