Adoption application Name * First Name Last Name Email * Phone Number * Address Line 1 * Address Line 2 City * State * Zipcode * Which animal are you interested in? * What is your age range? 23-26 27-34 35-44 45-54 55-64 65-74 75+ What do you do for a living? * What is the name of the company or organization you work for? * Do you have children? * Yes No Please list all residents and the ages of those residing in your home as well as their relationship to you * Are you or any other residents in your home allergic to the animal you want to adopt? * No Yes I don't know What is your living arrangement? * House Apartment Condo/Townhouse Duplex Mobile Home Other Do you rent or own? * Rent Own If you rent or have an HOA, can you have this type of pet in your home? Are there any restrictions around size, breed, or number of pets? Prior to adopting, please be prepared to show a copy of your rental or HOA policy or written confirmation that you are allowed to have the pet. * Is your backyard securely enclosed with a fence or wall? * I do not have a backyard Yes my fence/wall is under 4 feet tall Yes my fence/wall is between 4-5 feet tall Yes my fence/wall is over 5 feet tall My backyard is not fully enclosed My apartment has an enclosed pet area Do you currently have any other pets? * No Yes Are your current pets spayed/neutered? * No Yes I do not have any pets Are your current pets up-to-date on vaccinations and prevention? * No Yes I'm not sure Have you ever owned a pet in the past that is no longer with you? * No Yes Please list ALL pets that you PREVIOUSLY owned. Include: breed, sex, indicate if they were or weren't spayed/neutered, length of time you owned them, what happened to them (if they died please indicate how, if you gave them away please indicate circumstances) * What are the names and phone numbers of your current or previous veterinarian/veterinary hospital? * How many hours a day will your pet be regularly left without human companionship? Please be specific about what the pet's schedule will look like * If you spend most of the day away from home, what will you do for your pet? My pet will stay in a crate My pet will be home alone A pet sitter will visit My schedule allows for me to come home on breaks My pet will go to daycare Other people will be home with the pet My pet will be left outside My pet will be with other companion animals Where will your pet sleep during the night? * Outside in a secured shelter Wherever the pets wants to inside the house A crate inside the house In my bed next to me How will your pet be cared for when you go out of town? * What is your primary reason for wanting this pet? * Describe the kind of pet you are looking for (age, size, fur type, energy level, personality, etc.): * What type of activity level are you looking for in a pet? * Snuggler Hiking/Running Buddy Somewhere in between I don't know, I'd like help figuring out the right fit How would you rate your experience with this type of pet? * First time owner Beginner (e.g. I grew up with this type of pet or have owned this type of pet but have more to learn) Intermediate (e.g. I have experience training or raising this type of pet ) Advanced (e.g. I've owned several of this kind of pet in my life, worked with trainers, and feel confident handling them) When would you like to take your pet home? * I'm ready right away! I need more time Ideally, how much work would you like to put in with your new pet? * I prefer my pet to be fully trained I'd prefer my pet to be house-broken and knows the basics I'd be willing to consult with a trainer, or take classes I'd be willing to dedicate as much time as required for my new pet How are you planning on training your pet? ( * Group classes Private training I will train them myself If you selected, “I will train them myself” or "group classes", can you tell us what that might look like? * If your pet presents behavioral issues, are you prepared to seek out training and invest in their progress? * Yes No Are you willing and able to take care of all expenses should your pet become sick or injured? * Yes No I don't know What would cause you to return your pet to the rescue? * Would you allow a home visit by us if requested? * Yes No Has Animal Control ever visited your home, or have you been cited for Animal Related violations? * Yes No Tell us why you'd be a great home for a Piccolo Farm animal and what rescue means to you. * How did you hear about us? * Friends or family Web search Social Media Piccolo Farm event Other If a person or business referred you, please list their name here so we may thank them: Your Instagram handle: Your Facebook URL: I understand that any misrepresentation of the above information authorizes Piccolo Farm to deny application, and/or reclaim the pet that is in my home. I acknowledge that Piccolo Farm cannot guarantee any animals against parasites, diseases or destructive behavior. If I adopt a pet from Piccolo Farm I will not hold Piccolo Farm responsible, nor seek any compensation for damages, medical fees, or other liabilities incurred by the pet I adopt. I understand Thank you! We will be in contact with your shortly!
