Greene County Animal Farm
No-kill Animal Shelter
Online Adoption Form

Thank you for your interest in adopting a pet from us. Because we know the animals that we are placing, it is our goal to match the pet to the adoptive family. The Adoption Application form assists to us to achieve this goal.

Please complete this form and click SUBMIT. Please allow a minimum of 24 hours for us to contact you.

From All the Volunteers and Animals at the Animal Farm, We Thank You for Your Support!

Name:
Email Address:
Address:
Phone Number (Home)
Phone Number (Work)
Phone Number (Cell)
Veterinary Reference 1: Name and Phone Numbers
Veterinary Reference 2: Name and Phone Numbers
In which animal(s) are you interested?
What is(are) the name(s) of the pet(s) that you take to the above veterinarian(s)?
Have you taken other animals to the above vet(s)?	Yes No
If so, what are the pets' names?
Do you own your own home?	Yes No
Do you rent?	Yes No
If you rent, are pets permitted?	Yes No
Do you own other pets?	Yes No
Please specify the number of dogs that you currently own.
Please specify the number of cats that you currently own.
Please list the Names, Ages, and Species (dog, cat, etc.) of your current pets.
If you do not have any pets currently at home, have you owned a cat or dog in the past?	Yes No
If so, what has happened to him/her/them?
Is(are) your current animal(s) fixed (spayed or neutered)?	Yes No
Is(are) your current animal(s) on heartworm prevention?	Yes No
Is your yard fenced?	Yes No
Will your dog/cat be an inside animal?	Yes No
Where will your newly adopted animal sleep?
How much time will this dog/cat spend inside the house?
How much time will this dog/cat spend outside the house?
If you experience a behavioral problem with your newly adopted pet, what will you do?
If you move, what will you do with this dog/cat?
Do you have a child/children at home?	Yes No
If so, what are his/her/their age(s)?
Will you permit a home visit by an animal rescue group in your town?	Yes No
We will contact you shortly. Thank you for your interest in The Greene County Animal Farm!

form mail

Last Updated 08/2007
C. B. Dowling