Peace Love & Pigs Adoption Application

Name of the pig or pigs you are interested in adopting:
Applicant Information:
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number:*

Area CodePhone Number
Best time to call:*
Email:*
example@example.com
Referred by:
Your occupation:*
Are you willing to let a rescue representative visit your home to conduct a home check and ensure that it is an appropriate environment for a pet pig?*

YesNo

Please provide name, phone number and email of three personal references we can contact. Only one can be a family member.*

Additional Comments:
Please take a moment to tell us a little more about yourself. What made you consider a pet pig? How long have you been considering this addition to your family? How much have you researched piggy parenthood? Have you discussed this decision with friends and family? Are they supportive of the idea? If you live with a partner, are you both equally excited about adding a pet pig or pigs? Is there anything else we should know to help match you with the perfect pig for you and your household? These questions are just to get you started. Please feel free to make this answer as long or as short as you'd like it to be. We want to get to know you!*

Please read and acknowledge the following:

If you are approved to adopt from Campbell Farm Animal Sanctuary Inc, you will be required to sign an adoptive agreement contract that includes the requirements of care and procedures for adopters. This is only an adoption application to help us get to know you and your home. We will contact you about your application very soon.
"I declare that all the information contained above is true and correct, that I am over 18 years of age, and that I am a decision‐maker in my household. I am looking to adopt a pet, and I will accept full responsibility for his/her care."
Initials*
"I will abide by all state and local pet control and leash laws."
Initials*
"I will abide by all state and local pet control and leash laws."
Initials*
“I understand that pigs require adjustment to a new home/environment. I understand the pig may experience stress that could cause aggressive, standoffish behaviors, biting, charging and potty training mishaps.”
Initials*
“I hereby certify that the information I have provided above is true, correct, and complete to the best of my knowledge, and you may rely on this information to evaluate my application.”
Applicatant's Signature(s):
Signature*

Clear
Date*

MonthDayYear
Date
Signature

Clear
Date*

MonthDayYear
Date
Should be Empty: