Adoption Application

Applicant Information

First name

Last name

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

Preferred Contact Method

Phone

Email

Text

Household Information

Do you rent or own your home?

Rent

Own

If renting, landlord's name and phone

Are Animals allowed under your lease?

Yes

No

Type of Residence?

Who lives in the household (names & ages)?

Does anyone in the household have allergies to animals?

Yes

No

Animal You Wish to Adopt

Name of Animal

Species/Breed

Age (if Known)

Why are you interested in this animal?

Current & Previous Pets

List all pets currently living with you

Have you owned pets in the past? What happened to them?

Current veterinarian's name & phone

Care & Commitment

Where will the animal live?

How many hours a day will the animal be left alone?

Who will be the primary caregiver?

Are you financially prepared for routine and emergency veterinary care?

Yes

No

For Horses:

Do you have safe fencing and shelter?

Yes

No

Who will provide hoof/dental care?

For Dogs/Cats:

Will the animal be kept indoors, outdoors, or both?

Do you plan to crate train (dogs)?

Yes

No

Adoption Agreement

I agree to provide lifelong care, food, shelter, and medical attentions.

I will not sell, abandon, or surrender the animal without contacting Second Chance Farm Sanctuary.

I understand adoption fees are non-refundable.

I agree to follow-up calls or home visits as needed.

I understand this adoption is at the sole discretion of Second Chance Farm Sanctuary.

Signature

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