Adoption form Step 1 of 8 12% We are committed to finding safe, loving homes for animals in need, but we are also cautious and want the new guardian to make an informed decision. We are always here to help with advice and information regarding your new companion. Please fill out this application as completely and honestly as possible.Animals(Required)Select an animalEmeraldAmy Kristen and TinaEmail(Required) Which animal or type of animal are you interested in adopting. How many are you interested in adopting?(Required) This process will take about 15-20 minutes Personal Information All information is required First & Last Name(Required) First Street Address(Required) City(Required) State(Required) Zip Code(Required) Phone Number(Required) Are you at least 21 years old?(Required) Yes No Do you have a medical condition that could limit your ability to care for an animal?(Required) Yes No If you answered yes to the previous question please let us know how you would care for your companion animal if your condition prevented you from doing it yourself. Home/Dwelling Information All questions are required Does your local zoning allow for the type of animal you want to adopt?(Required) Yes No Maybe / I don't know Home/Dwelling(Required) House Apartment Townhome/Condomium Mobile Home Other Your Answer(Required) If you chose "other" for the previous question, please explain below. Do you rent or own?(Required) Rent Own Other Your Answer(Required) If you chose "other" for the previous question, please explain below. Do you live in a planned Community or a HOA?(Required) Yes No Don't Know Do you have a fenced-in yard or property?(Required) Yes No Will your animal companion have a fenced-in area or pen?(Required) Yes No Household Information All information is required Number of adults living in your home (Including yourself)(Required) Do you have children living in your home? (17 years and younger)(Required) Yes No If Yes to the previous question, please provide the number of children and their age. Do all members of your household want to adopt the animal you're interested in?(Required) Yes No Do you currently have an animal of the species you want to adopt?(Required) Yes No If you answered NO to the previous question, have you ever had the species of animal you want to adopt? Yes No If you answered YES to the previous question what happened to him/her? Do you have any other animal companion(s)?(Required) Yes No If you answered YES to the previous question, please list the number, type of animal(s), and give dog breeds if applicable. Who will be responsible for caring for your animal companion?(Required) Animal Housing Information Is there a safe place for your animal companion to spend his/her outdoor time?(Required) Yes No Not Sure Describe the living conditions you will provide. Please be very specific about the size of the barn/shelter and pen. Is there an area available with all day shade?(Required) Yes No How much property do you have for your animal companion? Vet Information It is very important to find a vet who will treat your new companion before actually getting one. Farm animals have different medical needs than your typical companion animal. If you need help finding a vet in your area, we can provide that for you. Does your current vet care for the species of animal you want to adopt?(Required) Yes No Not Sure If you answered YES to the previous question, please provide the name and phone number of the vet you use. If you answered NO or NOT SURE to the previous question, please provide the name and phone number of the vet you will use for your companion animal below. (We can help you find one in your area if you do not have one) Are all of your current Animal Companions spayed/neutered?(Required) Yes No If you answered NO to the previous question please explain below. Are your current Animal Companions all up to date on vaccinations?(Required) Yes No If you answered NO to the previous question please explain below. General Questions Almost Finished! What steps would you take to find a lost animal companion?(Required) What will you do with your animal companion when you go on vacation?(Required) What would you do if you became ill or injured and could no longer care for your animal companion?(Required) Are your current Animal Companions all up to date on vaccinations?(Required) Yes No Would you allow a home check? (This would include someone coming out to check your home/land to be sure it is safe, has adequate shelter, and supplies are on hand for your animals arrival etc.)?(Required) Yes No Do you have any questions/concerns about caring for the species of animal you want to adopt? Important Pig Information(If adopting a pig). What you MUST know! The average weight of a full grown pot-bellied pig is 100-200 lbs. Some are slightly smaller and some larger; genetics determines their size. Under feeding a pig will not change his skeletal size and will only lead to health and behavior problems. Overfeeding a pig, and/or not feeding them food specific to them, will only lead to health and behavioral problems. Rooting is a natural instinct and all pigs will root to varying degrees. This tendency to root can lead to destructiveness in the house if they are bored and do not have other means, or if they do not get enough outside time. It can also lead to destructiveness of lawn and flower beds. Dogs and pigs must be carefully monitored and should NEVER BE LEFT TOGETHER UNSUPERVISED, even the most gentle of dogs, and even if the Pig and the dog are best of friends. They are both animals with animal instincts. Dogs are predators and pigs are prey, and a dog can kill a pig if provoked. Pigs can become territorial. It is most common in house pigs, but can also occur with outside pigs. In the wild, pigs are herd animals, and it is natural Instinct for them to try to test their dominance and become alpha pig. Spaying/ neutering of all pigs is essential, not only for reproduction purposes, but also for behavioral and health reasons. A copy of your responses will be emailed to the address you provided. CAPTCHA
