Witts End Farm Equine Rescue & Rehabilitation Center, Inc - Help Us Help Them!!
Witts End Equine Rescue Adopter Profile
*Last Name:
*First Name:
*Address:
*City:
*State:
Email address:
*Home Phone:
Have you ever adopted from Witts End Farm Equine Rescue before?
Yes
No
What animal are you interested in adopting
Horse
Rabbit
Guinea Pig
Chicken
Pig
The animal being adopted will be adopted as a:
Who will care for the animal?
What types of animals do you have?
Dog
Cat
Rabbit
Fish
Horse
Cow
Other
Who will watch your pet if you go on vacation?
Do you have a veterinarian?
Veterinarian name and phone number
Demographics
Do you own or rent your home?
If you rent, please list Landlord's name and phone number
Number of adults in home:
Number of children in home:
Total number of other pets in household.
Does your family agree with your pet adoption?
By entering my name below, I understand that if for any reason I have to give up my pet, I will contact Witts End Farm Equine Rescue and Rehabilatation Inc immediately.
Application completion DOES NOT mean you are guaranteed adoption approval. By entering my name below, I certify that the information I have given is true and I recognize that any misrepresentation of the facts may result in my losing the privilege of adopting a pet. I understand that Witts End Farm Equine Rescue and Rehabilitation Inc.has the right to deny my request to adopt an animal and I authorize investigation of all statements in this application, including any veterinary records
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