Home At Last Farm Adoption Application
IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST:
Be 18 yrs of age or older.
Have the knowledge and consent of your landlord or proof of homeownership or have an approved boarding facility
Be able and willing to spend the time and moneynecessary to provide training, medical treatment, and proper care for a pet.
Understand that HALF reserves the right to do home checks and refuse adoption to anyone.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Age
*
Employer:
*
If there is a specific equine you are interested in adopting please list their name here.
If you plan to keep your horse at home, do you:
*
Own
Rent
If you plan to keep your horse at home, how many useable acres do you have?
If you plan to keep your horse at home, please describe the type of shelter, water system, and feed schedule made available
Where do you plan to keep your horse?
*
Board at a facility
At home
With a family member
Type option 4
Other
If you plan to board your horse, list the name of the barn, manager, and contact information.
Are there any children in the home?
*
Yes
No
If yes, please list ages.
How many adults live in the home?
*
Does anyone in your household have any known allergies to equines? If yes, please explain.
*
What types of pets do you currently own?
*
If you have other pets, are they spayed or neutered?
If you have other pets how long have you owned them?
If you have other pets, when were their last vaccinations given?
Have you ever surrendered an animal to a shelter, rescue, or animal control?
*
yes
no
What is your experience with the type of animal you are applying to adopt?
*
If yes, please describe the circumstances
Who is your current veterinarian? And what is their phone number?
*
Who is your current farrier and what is their phone number?
*
Are you willing to care for this animal for the rest of its life?
*
Yes
No
How will you deal with behavioral issues as your new equine(s) settle in?
*
Please provide three equine related references including name and phone number.
*
If you relocate, what will you do with this animal?
Please describe in detail the type of horse you are looking for and what is important to you in terms of traits, qualities, etc.
*
Do you currently own and/or care for the type of animal you are applying to adopt? Please describe.
*
Have you ever been convicted of an animal related crime, such as animal cruelty, animal theft, and or animal abandonment? (If yes please explain in detail)
*
What circumstance would cause you to give up your pets?
*
Who will care for the animal if you are sick, injured or otherwise unable?
*
Do you own a horse trailer or means of transportation for the animal? If not, what is your emergency plan?
*
Confirm you understand by clicking this button
*
By clicking the submit button, I agree to Home At Last Farm's adoption process, and will undergo a home check, and interview at the discretion of HALF. By clicking the submit button, I understand HALF will check my references including veterinary and personal. By clicking the submit button, I understand there is an adoption donation associated with adoption of an equine from HALF and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue additional equines and therefore, adoption donations and deposits are non refundable. By clicking the submit button, I agree to indemnify and hold harmless HALF against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand that HALF will disclose any of the equine's health or behavior issues known by the above named rescue group before adoption is completed. By clicking the submit button, I understand that if I no longer want my equine, or am no longer able to care for my adopted equine at any time, I will be directed to surrender my pet back to HALF and provide transport to where HALF deems appropriate. By clicking the submit button, I verify all of the above information is true and accurate. I certify the above information is accurate and complete to the best of my knowledge.
Signature of Potential Pet Parent
*
Submit
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