Adoption Application

CCFS Adoption form:

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Reference #1 (Name/Phone): *

Reference #1 relation to you: *

Reference #2 (Name/Phone): *

Reference #2 relation to you: *

Place of Employment: *

Do you own/rent? *

Own Rent Other

If rent, please provide your landlord’s name and phone number: CCAS will contact your landlord to verify pets/farm animals are allowed. *

What other pets do you have? *

Is anyone in your home allergic to animals or hay? *

Yes No

Please list your current pets (species, age, indoor/outdoor, spayed/neutered): *

If you have current pets, what is the name of your veterinarian(s)? *

Have you owned a pet/farm animal before? What was your experience? *

Where will your new pet/farm animal be when you are home? *

Where will your pet/farm animal be when you are not at home? *

How many adults are in your home? *

How many children are in your home? *

Have you ever given up a pet/farm animal? *

Yes No

If yes, who did you give the pet/farm animal to and what was the result? *

Is there a particular pet/farm animal you are interested in? *

When are you looking to adopt? *

What will you do with your pet/farm animal if you are forced to move? *

What will you do with your pet/farm animal if you are out of town? *

Please include any comments that may be relevant to your adoption application: *

I certify that the information on this form is true and correct and that I am financially, emotionally, and physically capable to care for a pet/farm animal. I understand that giving false answers may result in my application for adoption being denied or relinquishment of the pet/farm animal to Cottontail Cottage Farm Sanctuary if false answers are discovered post-adoption. CCFS reserves the right to accept or deny any application for adoption. * Please type your complete legal name to serve as a digital signature: *

Submit

CCFS Adoption form:

we're social!

shelter

location

dot org

CCFS Adoption form:

we're social!

s﻿helter

location

dot org

shelter