APPL. FORM

Useless Animal Farm Sanctuary Inc.

A Tax exempt (501c3) organization.

All donations are tax deductible.

Updated September, 2009

ADOPTION/foster APPLICATION

Note: We do not adopt animals out for exploitation, breeding, or slaughter!

We have a core group of animals which are permanent residents at the sanctuary.

When our animals exceed our means, animals are available for adoption. For up to date information on animals needing placement, please visit us at www.petfinder.com. During our screening process we look for: a life long commitment, the means to give quality care, an environment which is safe and stimulating - equal to or better than what we have to offer.

All application information will be kept confidential. You may choose to be pre-qualified, pending future animal rescues. An update may be requested. Feel free to add attachments, sketches, etc. We recommend photos of the fencing, housing and area where the animal will be kept. A Home check is required prior to an adoption!

If you have questions, please call 386-325-8289 or email uafarm@comcast.net.

Name

Address

City State Zip

Do you own the property where the animal(s) will live? Yes No If YES, what is your property zoning code? _____________

If you don't own, please explain:

Your age:

Married Single (Check One)

Evening Phone Number (with area code)

Daytime Phone Number (with area code)

Email Address

Number of children living at home

Names & Ages:

1 2 3

4 5 6

Why are you interested in adopting this/these animal(s)?

Please list ALL animals under your care and/or briefly tell of your animal experiences:

Describe your animal housing accommodations:

If applicable, please describe your fencing and pasture, including area size and fence type:

Veterinarians Name

Address

City State Zip

Phone Number (with area code)

What kinds of animals does your Veterinarian treat?

May we do a home visit? Yes No

What animal(s) are you interested in adopting?

Are you trying to Pre-Qualify for an animal at a future date? Yes No

How do you plan to transport this animal?

By signing this application, you certify that you are over the age of 18 and all information in this application is truthful to the best of your knowledge.

Signature Date

Note: If applying by email, type your name in the Signature space. If your application is accepted, your signature will be required on a mailed copy.

ADOPTION FEES

Adoption fees may apply. They do not apply to people fostering animals.

* Veal calves are the unwanted offspring of dairy cows and are always young bulls. Many end up in small crates where they are fattened before being slaughtered to produce veal. They are deprived of exercise and sunlight in order to create pale tender meat. We would purchase the calf on your behalf. To ready him for placement we would bottle feed and wean the baby. Prior to being transferred, he would be neutered. We would require 1/2 the (above) fee to begin this process which would be non-refundable should you change your mind. Calves thrive better in pairs, therefore we would not make a purchase until at least two calves were eligible (individually or together). Your commitment: to provide a permanent, loving home for this animal. Please call or email with any questions!

Thank you for your interest in providing an animal with a permanent loving home. We will contact you ASAP!

To submit this form and any additional attachments, copy and paste the completed application into an email and send to us at <uafarm@comcast.net>

press the print button on your browser and submit the entire application package by mail to:

Useless Animal Farm Sanctuary Inc., 7451 Crill Avenue, Palatka, FL 32177