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Adoption Application

Date:

Full Name:

Street Address:

City, State, Zip Code:

Phone Number for future contact:

E-Mail Address:

Which animal are you interested in?

Would you consider another if he/she is found to be more suitable for you?

What is your reason for wanting to adopt this animal?

What do you intend to use this horse for (trail ride, companionship, etc)?

Have you ever owned a horse in the past?

How many and what kind of animals do you currently have?

Describe the shelter provided?

Are you aware that an adjustment period occurs when any animal is in a new situation?

Are you aware the animal may have undesirable habits that may need to be corrected?

Have you ever adopted a rescue animal before?

Do you still have that animal?  What is its current disposition?

Have you ever surrendered an animal to a shelter or rescue organization?  If yes, please explain:

How do you handle problem behavior in current (or past) animals?

Will you consider professional training, if needed, to correct a problem behavior?

Is the fencing adequate for the requested animal?  (Height, openings, weak spots)

Do you rent or own your residence?

If you rent, please provide the Name and Phone Number of your Landlord.

Have you obtained your Landlords permission to adopt this animal?

Have you checked local ordinances concerning the number of animals and type you are allowed to own?

Please provide your veterinarians Name, Address, and Phone Number.

Due to the nature of animal rescue, we are unable to know the exact health conditions of the animals in our care.  Animals are quarantined upon arrival to watch for possible infectious conditions and behavior traits.  This is not a fail-safe.  Our animals will be up to date for their age on vaccinations and will be vet checked prior to adoption.  They may be spayed or neutered as well.  If not, you must agree to have this done in a timely manner.  Understand that adopted rescue animals may have health and or behavioral problems that have not yet been identified.  If you understand and agree to assume the responsibility for all future care for this animal, please sign, date, and submit this application via email to contact@bertellfarms.org.

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