Survey - Home Adoption Application

Home Adoption Application

This is an adoption application to bring a farm animal to your home.

Thank you for your interest in adopting an animal rescued by Farm Sanctuary. Farm Sanctuary wants to make certain every animal adopted goes to a loving home where the animal will be well cared for. Because of this, the application asks a number of questions which we hope you understand are necessary in our screening process. All information will be kept confidential, and if you have questions, please don't hesitate to call us at 607-583-2225 or e-mail with a specific question to shelter@farmsanctuary.org. Please allow 2 to 3 weeks for Farm Sanctuary to process your application and to send notice of your application status.

Farm Sanctuary facilities are located in Watkins Glen, NY, Orland, CA, and Los Angeles, CA. The sanctuaries are open 365 days per year, but please note appointments are necessary for adoption visits.
.

Personal Information

If you are a member of Farm Sanctuary's online community, login here to prepopulate your information.

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

*

Date of Birth: Required

Date of Birth:

Yes, I would like to receive e-mail from Farm Sanctuary

Remember me. What's this?

*

Question - Required - Your employer:

Question - Not Required - Employer phone #:

*

Question - Required - Number of children:

Question - Not Required - Youngest age:

Question - Not Required - Oldest age:

*

Question - Required - Number of adults in household:

*

Question - Required - Are you: Vegetarian
Vegan
Neither

Question - Not Required - If no, please explain:

Question - Not Required - Please list all farm animals currently living under your care:

Question - Not Required - If you do not currently have any farm animals, please list any experience you've had with them:

*

Question - Required - Please describe your housing accommodations for farm animals:

*

Question - Required - Please describe your fencing and pasture available for farm animals:

*

Question - Required - Do you own the property where the animals will live? Yes
No

Veterinarian Information:
.

*

Question - Required - Veterinarian's Name:

*

Question - Required - Street 1:

Question - Not Required - Street 2:

*

Question - Required - City:

*

Question - Required - State:

*

Question - Required - Zip:

*

Question - Required - Phone number with area code:

*

Question - Required - Does your veterinarian treat farm animals?: Yes
No
Don't Know

*

Question - Required - If your animals should become ill, can you afford veterinary services?: Yes
No

*

Question - Required - Your household's annual income range: $10-20,000
$20-35,000
$35-50,000
over $50,000

*

Question - Required - May Sanctuary Adoption Officers visit your home?: Yes
No

*

Question - Required - List at least two animal protection organizations to which you belong: (please include the organization's addresses and phone numbers):

.

*

Question - Required - Please check the animal(s) you are applying to adopt:
Please make between 1 and 9 selections from the choices below.

	Cattle...$100
	Pig...$75
	Sheep...$50
	Goat...$50
	Turkey...$20
	Duck...$20
	Goose...$20
	Chicken...$10
	Rabbit...$10

Please note: Fees Due Upon Adoption
.

*

Question - Required - By entering your initials below, you certify that you are over the age of 18 and all information is truthful to the best of your knowledge.