
Freedom
Farm Animal Sanctuary is a 501(c)(3) non-profit
organization.
ADOPTION
APPLICATION
First
Name: _____________________________
Last Name: __________________________
Address: ___________________________
City: ______________ State: ______ Zip: ______
Home Phone: ___________________ Pager/Cell
phone:___________________
Place of Employment: ___________________________________
Address: ______________________________________________
Phone: ___________________
May we verify your employment? ___________________________
Driver's License Number:
__________________________________
Do you have children living with you?
________________________
If yes, how old? _________________________________________
Do you have other pets? _______ If yes, state type, breed,
sex of each:
_______________________________________________________________
Have your pets been spayed/neutered? __________________
If no, please indicate which have not:
__________________________________________
May we inquire of your veterinarian about your current
pets?________________________
Name/location/phone # of vet:
________________________________________________________________
What is your current living situation? Own __________ Rent
___________
If you rent, does your landlord allow pets or have any
restrictions? ______________________
May we inquire with your landlord? __________________
Name & phone:
______________________________________________________
For
potential dog adopters:
Where will the animal primarily stay? Inside _____ Outside
_______
If outside, do you have a fenced-in yard? _______________
For
potential cat adopters: Where will the animal primarily
stay? Inside ____ Outside _______
If outside, in what area do you live? Rural _____ Urban
_____
Comments:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Signature
of Applicant: ____________________________
Date: ______________________
The above signed recognizes the right of FFAS to turn down
any application for adoption for any reason, and will not
hold FFAS responsible for any liabilities involved with
the adoption of any animal.

FREEDOM FARM ANIMAL
SANCTUARY
ADOPTION CONTRACT
Please initial after to each requirement. Each one must be
agreed to in order to adopt from our organization.
I,
________________________ do hereby agree to the following
stipulations concerning the adoption of
_________________________ from Freedom Farm Animal
Sanctuary. Animal I.D. #___________________
1.
I will agree to provide appropriate food,
water, and shelter for the animal given to my care._____
2.
I will not hold FFAS responsible for any
liabilities incurred by this animal once it is given to my
care.______
3.
I will not house this animal in an
unsatisfactory fashion, such as leaving it continuously
chained to an object. ______
4.
I agree to make sure the animal receives
regular veterinary care, which includes following up with
vaccinations, grooming, parasite control and treatment of
any illness or injury. ______
5.
I agree to keep this animal leashed in
accordance with TN State law when it is outside of my person
or property. ______
6.
In accordance with the recommendations from
the American Veterinary Medical Association:
CATS: I
agree not to de-claw any cat adopted from FFAS unless it is
deemed medically necessary by a veterinarian. ______
DOGS: I will
not participate in the tail, dewclaw, or ear docking unless
it is deemed medically necessary by a veterinarian. ______
7.
If for any reason I am unhappy with the
adopted animal given to my care:
I will
contact FFAS and arrange to return the animal to their care.
_____
The animal
will not be given to another individual or organization
without the approval of FFAS. ______
Cats that
have been de-clawed, in violation of this agreement, may have
developed serious behavior problems making them no longer
suitable as companion animals. I acknowledge that FFAS will
not accept the return of de-clawed cats. ______
8.
I understand after adopting this animal that
it falls completely under my care, and I will not hold FFAS
responsible for any medical conditions unknown to them. I
will not hold FFAS responsible for any veterinary bills
after the animal has been in my care for more than 10 days.
If a medical problem is found within 10 days of
adoption, I will do one of the following. _____
a)
Contact FFAS and return the animal directly
to them in exchange for another animal
b)
Contact FFAS and return the animal for a
refund
c)
Allow FFAS to treat the illness with their
veterinarian
d)
Treat the animal at my expense and assume all
responsibility
9.
I understand that FFAS cannot be responsible
for false negatives on FIV/FLV (feline AIDS and feline
leukemia) tests on any cat. _____
10.
I understand that FFAS cannot be responsible
for false negatives on heartworm tests on any dog. _____
11.
I will allow FFAS to make unannounced visits
to my home to check on the condition and well-being of the
animal given to my care, if I am unreachable by other
means. If FFAS feels any of the conditions of this contract
have been violated, I will allow them to reclaim the animal.
_____
12.
I understand that there are no refunds after
I have adopted this animal, except as specified in item 8.
_____
Signature ______________________________
Date _______________