Chicken/Duck/Goose Adoption Application
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.
Do you rent or own your home?
Rent
Own
If you rent, please Include your landlord's name and contact information.
Why do you want to adopt a chicken/duck/goose?
Will you be using for meat?
Will you be breeding or hatching eggs?
Do you currently have any duck, geese, or chickens? Do you have experience integrating?
How permanent is your living situation? What would you do with them should you have to move?
Are you zoned to have ducks, geese, chickens?
Yes
No
Not Sure
Are you willing to provide vet care for this animal for the duration of their life?
Name and Contact Number for your vet
Do we have permission to speak to your vet?
Please upload pictures of your current fencing/enclosure/habitat
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