Safe Harbor Farm 

SHF Adoption Application

SHF Adoption Policies

Name(s):

Street:

City:

State:

Zip Code:

Phone #1:

Phone #2:

E-mail address:

Employer:

Spouse's employer:

Do you own your own home? yes  no

If you rent, do you have your landlord's permission to have a pet? yes  no

If you rent, have you paid a pet deposit for your new pet? yes  no

Is your yard fenced-in? yes  no

Are you planning to move in the next two years?  yes  no

If so, where are you planning to move?

Number of adults in household:

Number of children in household & their ages:

Is any member of your household pregnant or soon to be pregnant? yes  no

Are any members of your household smokers? yes  no

Where are your pet(s) kept while you are home?

Where are your pet(s) kept while you are away?

Where do your pet(s) sleep at night?

Where do your pet(s) stay when you travel?

Who will care for your pet(s) if an emergency shall befall you?

Are you or your spouse in the military? yes  no

If so, what are your plans for your pet(s) in case of deployment?

Specific SHF pet(s) desired:

If no specific SHF pet desired, what are you looking for?

Breed preferences, if any:  

Energy level preferred (high, medium, low):

Reason you'd like to adopt a pet:

Cats presently in the household, their names & their ages:

Dogs presently in the household, their names & their ages:

Other pets presently in the household:

Other pets you have cared for in the past 10 years, and where they are now:

Has any pet of yours ever had a litter? yes  no

If so, please give the details:

What vets have you visited in the past 10 years:

Who is the vet of your choice?

What is your vet's phone number?

Have you read any books on pet behavior or training?  If so, which one(s):

What is your pet care budget for the next 12 months?

What financial constraints will you have in the case of a veterinary medical emergency?

What is your plan if a family member should develop pet-related allergies?

Have you or a family member ever been investigated for animal cruelty?  If so, give the details of the event:

Have you or a family member ever been investigated for domestic violence?  If so, give the details of the event(s):

Please read our adoption policies thoroughly.  Do you have any questions about them or objections to them?  If so, please explain:

Personal reference #1 (name, address, relationship to you, phone numbers):

Personal reference #2 (name, address, relationship to you, phone numbers):

Please check that you have answered all of the above questions.  Incomplete applications will not be pursued.