First Name*

Last Name*

Email*

Mailing Address*

What county do you reside in?*

Cell Phone Number*

Age: (Please note we do not adopt to anyone under the age of 18 without verbal or written parental consent).*

Who are you interested in adopting? (Name, description)*

Why are you interested in adopting this pet at this time?*

Do you rent or own your property? If Rent, list landlord's contact info: *

Describe your current living situation, and where your pet would be housed.*

How do you plan to financially provide for this animal?*

List names and ages of any other people living in your home with you: *

Name, type & age of any other current pets or fosters living with you:*

Who will be caring for this animal while in your home?*

Are you planning on moving soon? If so, what are your plans for your animals? *

Have you ever had to rehome a pet? Please explain.*

For cat applicants: Do you plan to declaw your cat/kitten?
Choose one: Yes No

For horse & farm animal adopters: Do you agree NEVER to breed any animals adopted through AFAR? (We do not spay our outdoor female farm animals).

Do you understand if you at any time are unable to care for your adopted animal, you are required to return the animal to AFAR?

Please list the name & phone number for 2 (non-family member) references:*

Please list the name and phone number for your vet: *

Is there anything else you'd like to add?

Electronic Signature*

Date*