Pets Alive Animal Sanctuary

Farm Animal Adoption Application

Thank you for your interest in a Pets Alive farm animal. Please complete the entire application. Incomplete applications will be returned for completion, thus slowing the application process.

Contact Info

Name Prefix:

First Name: *

Last Name: *

Street Address:

City:

State/Province Select:
	Select state/province from list

Postal Code:

Email: *

Phone Number:
Phone Type:

Alternate Phone:
Phone Type2:

Other Pets

Do you currently have other pets that are considered livestock?	Yes No

If yes, please list the type of animal, age and how long you’ve had the animal:

Do you currently have other pets?	Yes No

If yes, list the type of animal and how long you’ve had the animal:

Are your current pets spayed or neutered?	Yes No

Are your current pets up to date on all vaccinations?	Yes No

Caring for the Farm Animal Pet

What will you feed your farm animal pet?

How often will you deworm the farm animal pet?

If the pet is to be a companion for another animal, tell us about that other animal:

Tell us what types of vaccinations a farm animal pet should receive in your area, and how often:

Who will be responsible for caring for this farm animal?

Please describe how the farm animal or pig will be housed:

If a pig, will the pig live in your house or outdoors? If the pig lives outdoors, will s/he have shelter?	Yes No

If the pet will live outdoors, is there heat in the pet’s house for winter?	Yes No

Is there adequate shade for summer?	Yes No

Is there room for a pool and/or wallow?	Yes No

What type of fencing do you have?

Please provide us with your veterinarian's information

Name
Phone
Address
City:
State/Province Select:
	Select state/province from list
Zip/Postal Code:

Please provide two references, people not related to you, who can testify to your ability to provide and care for a farm animal pet:
Name:
Phone:
Name:
Phone:

How did you hear about Pets Alive?