LAKELAND ANIMAL SHELTER

FARM ANIMAL APPLICATION INFORMATION

Thank you for your interest in adopting a farm animal from Lakeland Animal Shelter.  In order to fill out our online application, you will need to have the following information with you:

Name and number of your landlord if you rent

Name and number of any veterinarians you have used in the past 5 years

Information submitted to Lakeland Animal Shelter is used for processing of our application only and is not given or sold to any marketing agency.  Please allow some time to fill out this application and make sure that it is complete, as incomplete applications cannot be approved.

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 In order to be eligible to adopt from the shelter, the following is required::

·        A completed application.

·        Photo identification with an address that matches the address on your application.   Identification must also show that you are 18 years of age or older.

·        Verification that animals are allowed in your home.

·        If you rent:  Your landlord’s name and address and a copy of your lease if available.

·        If you own your home:  Proof of ownership (a deed, mortgage paper, payment book, etc.).

·        Proof that companion animals currently living in your home are up-to-date on rabies and distemper vaccinations or your veterinarian’s name and telephone number.

We will not knowingly place a pet in a situation where its well-being is questionable.  Therefore, we reserve the right to refuse an application.  No pet will be placed with people who mislead or fail to provide accurate information on this application.

The first portion of our application requests general household information.  The latter part of our application contains  a detailed questionnaire to help us to determine what  situation(s) would be best for you.

After your application is submitted, it will go through our normal verification process.  This step generally takes 1-2 business days.  

Don’t be shy about asking questions!  This is a major commitment on your part and we want to assist you in every way possible.

Household Information

Full Name of Applicant

Full Name of Spouse/Other Household Adult Involved in Adoption

Street Address:

Mailing Address:

City State Zip Code

of: County:

Home Phone How long have you lived at above address?

If less than 3 years, previous address:

Email address

This residence is a      

If Other, please explain

Do you  

If Other, please explain

If owned, under whose name is property listed?

If rental or mobile home park, you must list landlord/owner’s name/address/phone #

Applicant's Date of Birth  Other Adult's Date of Birth

EMPLOYER(S)

Applicant Phone #

Spouse/Other  Phone #

HOUSEHOLD

How many adults in household?         Children?           Ages

Do all adults agree on fostering a pet?          Yes  No           If no, why not?

Is anyone in the household allergic to animals?           Yes    No             If yes, what type of animals and how severe is the allergy?

In some cases, animals may have bacterial, viral, or fungal infections, or may have mobility issues resulting in an animal that is more "underfoot".   Does any person in your household have special  needs, or any condition, such as a compromised immune system, that might be affected?  Yes    No

Will this be your first experience with this kind of animal?  Yes   No     

Who will be responsible for the care of the animal?

Approximately how many hours per day will the animal be left alone?          

What animals do you currently have in your household?

NAME & BREED

 TYPE SEX     Spayed/ Neutered     KEPT WHERE?  Current Age
 If you do not currently own any animals, check here
If you currently own more than 5 animals, please describe here:

 

PLEASE LIST BELOW ALL PETS OWNED IN THE PAST 5 YEARS OTHER THAN THE ABOVE:

NAME & BREED

 TYPE SEX     Spayed/ Neutered     KEPT WHERE?   WHERE IS  PET NOW?
 If you do have not owned any other animals in the past 5 years, check here

Name/address or phone number of past & present veterinarians:

 

 

Do any animals currently in your household have special needs, illnesses, or conditions that may impact the animals' immune system?  If so, please explain.

In some cases, new animals will initially need to be kept isolated from other animals in the household.  Where will you keep your new animal(s), and if necessary, how will they be separated from your current animals?

How did you hear about us?    If other, please tell us how:

Please list a non-related individual who could verify that you are a responsible, caring pet owner.

Name    Phone 

Have you ever taken any animal to a shelter?             Yes   No             If yes, please explain:

Have you previously  adopted  or redeemed a pet from an animal shelter?    Yes   No           Year         (note:  redeemed means to claim your lost animal).

Name/location of shelter  

Are you familiar with the following?  (Please check all that apply)

Heartworm    Lyme Disease   West Nile Virus     Coggins     Psittacosis 

  Newcastle disease 

Are you willing to work with us to make arrangements for a member of our staff to visit your home (if necessary) prior to or following your adoption in order to evaluate suitability of your home for special needs animals, check progress of your animals, assist with medical needs, or take photos for publicity or adoption purposes?

Yes    No

 

Why are you interested in adopting?  Please check all that apply.

I would like to breed this animal.

I would like to help an animal in need.

I would like a companion for my other animals.

I am interested in this particular breed/type of animal.

I am interested in learning more about handling special needs or training and behavior modification.

I am interested in adopting a special needs animal but would like to make sure I can handle the special needs prior to adoption.

Other reasons (please explain)

Approximately how much time per day do you have available to care for your farm animals? 

What kind of animals are you interested in?  Please check all that apply.

guinea pigs        rabbits           ferrets           other small animals     birds           reptiles           horses     cows   swine    goats    sheep    fowl     other farm animals      

 

Please specify any information on types of animals you are interested in and/or  specific types of special needs.

Are you comfortable with (or willing to learn)    administering medication       bottle feeding      basic grooming needs    special medical care (e.g. injuries, newborn care)

If you are applying for an animal that you intend to board elsewhere, please provide the name, address, and phone number of the boarding facility.

Are you able to transport this animal, or help with transport of this animal?  Please indicate what equipment you have/need or how you are able to help.

If applying for a large bird, please tell us what types of large birds you have experience with and what type of experience:

If applying for a large bird, are you willing to provide a cage of sufficient size and provide proof of this?

 Note:  Final approval will not be granted for adoption until this proof is provided.

Yes    No

 

 

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Do you have any questions, or is there anything else you would like to tell us about yourself or your family?

WE WILL NOT KNOWINGLY PLACE A PET IN A SITUATION WHERE ITS WELL-BEING IS QUESTIONABLE.  THEREFORE, WE RESERVE THE RIGHT TO REFUSE ANY APPLICATION.  NO PET WILL BE PLACED WITH APPLICANTS WHO MISLEAD OR FAIL TO PROVIDE COMPLETE AND ACCURATE INFORMATION ON THIS APPLICATION.