Wild Pines Sanctuary Adoption Form

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Animals for adoption through WPS

Name of Adopter (First and Last)
*

Email
*

Would you like to sign up for the Wild Pines Sanctuary newsletter, mailing list or other communications?
*

Email Newsletter

Physical Mailing List

Volunteer Sign-Up

None

Other:

Required

Address (street, city, state, zip)
*

Phone
*

Where do you live?
*

Apartment

House

Are you aware of the laws/regulations/code in your city regarding ownership of this type of animal?
*

Yes

Have you ever owned this type of animal before?

Yes

Clear selection

Do you have experience working with this type of animal?
*

Yes

Have you ever been charged and/or investigated for animal cruelty? *

Yes

Name of animal you wish to adopt
*

Do you intend to breed this animal?
*

Yes

Name and address of your current veterinarian:
*

Describe your current housing plan for this animal (fence, kennel, indoor, etc.)
*

You understand that any falsification of the answers on this form may result in being denied adoption, or if an animal has been adopted out to you, they must be returned to Wild Pines Sanctuary.

Yes

Clear selection

You understand that animals adopted from Wild Pines Sanctuary are rescued animals and have very little history and background. These animals may have underlying health conditions and may have had traumatic experiences that are unknown. Wild Pines Sanctuary can not be held liable for any condition that presents after adoption. *

Yes

You understand that you may not sell or breed the adopted animal(s). *

Yes

You understand that you may not re-home the animal(s). You MUST surrender to Wild Pines Sanctuary if you are no longer able to provide adequate care.
*

Yes

If you are no longer able to provide care for the animal(s), Wild Pines Sanctuary must be notified, and will reclaim ownership of the animal(s). NO adoption fees will be refunded. *

Yes

By typing your full name below, you certify that all of the information that you have provided on this application is true and correct to the best of your knowledge. *

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