rooster at Farm Sanctuary

Home Adoption Application

 

If you are unable to use our online form, please contact us at shelter@farmsanctuary.org or 607-583-2225 223 to receive a PDF/printed version of this application.

  Personal Information:

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What's this?

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Question - Required - Are you:



 

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Question - Required - Do you own the property where the animals will live?


 

Veterinarian Information:
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Question - Required - Does your veterinarian treat farm animals?



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Question - Required - May we contact this veterinarian for a reference?


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Question - Required - If your animals should become ill, can you afford veterinary services?


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Question - Required - Your household's annual income range:




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Question - Required - May Sanctuary Adoption Officers visit your home?


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Question - Required - Please check the animal(s) you are applying to adopt. Select all that apply:
Please make between 1 and 10 selections from the choices below.

   


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   Please leave this field empty