Application for a farm/livestock adoption.
Please complete all sections of this application.
All applications will be reviewed and you will be contacted as soon as possible if approved.
Name of the animal you are interested in adopting?
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Why do you want to adopt this animal?
Who will be responsible for caring for the animal?
Do you currently own other animals/livestock?
Please Select
Yes
No
Have you previously owned any farm animals or livestock?
Please Select
Yes
No
Please list the farm animals or livestock you currently or previously have owned in the last 5 years:
Rows
Breed
Age
Sex
Neutered?
If no longer owned, what happened to the animal?
1
2
3
4
5
Please describe the pasture/paddock/environment where the animal will be kept, including size, shelters and type of fencing and feeding areas:
Who is your veterinarian?
Veterinarians Phone
Please enter a valid phone number.
Format: (000) 000-0000.
By signing, I give my veterinarian stated above, permission to release information concerning the veterinary care of my animals to the Athens County Humane Society. I understand this information is only for the purpose of considering my eligibility for adopting a farm/livestock animals from ACHS.
Please list an additional reference familiar with your experience with farm animals and livestock:
Reference Phone
Please enter a valid phone number.
Format: (000) 000-0000.
By signing, I affirm that the information on this form is true to the best of my knowledge. I understand that if I am approved for adoption, I will be required to make a substantial commitment of time and money for my new animal.
*Farm animals and Livestock may be transported from the Humane Society to your home for a small donation. This distance traveled will determine the amount necessary.
**Please note that (with rare exception) farm animals/livestock live in social groups and will not be adopted into situations where they will live alone. We place them where they will have a companion of their own kind (or similar) to live with.
Should be Empty: