Cottontail Cottage Animal Sanctuary
HOME
ABOUT
Photo Gallery
Contact Us
SAVE A LIFE!
Adopt A Rescue
Monthly Giving
Achilles Foundation
Animal Sponsorships
SHOP!
Our Animals
Be Vegan
CCAS 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:
*
Where did you hear about CCAS?
*
Facebook
Instagram
Website
Veterinarian
Friend
Other
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 Animal Sanctuary if false answers are discovered post-adoption. CCAS reserves the right to accept or deny any application for adoption. * Please type your complete legal name to serve as a digital signature:
*
Submit
HOME
ABOUT
Photo Gallery
Contact Us
SAVE A LIFE!
Adopt A Rescue
Monthly Giving
Achilles Foundation
Animal Sponsorships
SHOP!
Our Animals
Be Vegan