Adoption Application - Sanctuary One

Sanctuary One wants to make certain every animal adopted goes to a loving home where the animal will be well cared for. Because of this, the application asks a number of questions which we hope you understand are necessary in our screening process. All information will be kept confidential, and if you have questions, please don’t hesitate to call us at 541-899-8627 or send an e-mail to info@SanctuaryOne.org.

Our goal is to adopt our animals to people who are committed to lifetime care for the animals they adopt. To help us meet that goal, please answer the questions below to the best of your ability. Your accurate responses will also help us to match you with an animal who meets your needs.

Please understand that no animal adopted from us will be allowed to be used for milk, meat, breeding, or re-sale.

Name of animal you wish to adopt

Your name*

First Last

Birthdate*

Address*

Street Address Address Line 2 City State ZIP Code

Phone where we can reach you*

Email*

Do you own or rent your home?*

Own
Rent

Please tell us your landlord's name and phone number

How did you hear about us?*

Check all that apply.

If adopting a farm animal, are you zoned for farm animals where you live?

Yes
No

If adopting an equine or companion farm animal, will the animal live on your property?

Yes
No

Please list the name, address and phone number of your boarding facility.

Please describe the accommodations the animal will have, including the type of fencing, shelter and pasture available.*

Please tell us why you would like to adopt an animal from Sanctuary One.*

Are you willing to have a Sanctuary One representative do a property and facility check?*

Yes
No

Please list all people in your household-- names and ages.*

Your household's annual income range*

Under $25,000
$25,000-50,000
$50,000-$100,000
Over $100,000

If you adopt an animal from Sanctuary One, what would your expectations of the animal be?*

Please describe your level of experience with this type of animal*

Please list all animals you currently have including species type, age, sex, etc.

Explain the style of training you prefer.

Please provide us with your veterinarian's information

Name of your veterinarian or vet clinic

First Last

Veterinarian's Phone

Veterinarian's Address

Street Address Address Line 2 City State ZIP Code

References

Please provide two references who can testify to your ability to provide and care for a companion farm animal or pet. **Please DO NOT list family members as references!**

Reference One Name (DO NOT LIST RELATIVES please!)*

First Last

Reference One Phone*

Reference Two Name (DO NOT LIST RELATIVES please!)*

First Last

Reference Two Phone*

I hereby certify that the statements made are true to the best of my knowledge. I undersand that this application does not constitue a "hold" on any animal.

Type your name to certify.

Note:

Please allow 48 hours for us to process your application. If we haven't responded in that time, please contact the Sanctuary office at 541-899-8627. Thank you!