Adoption Form

Thank you for considering adopting an animal from Home at Last. The following information is requested so that we can assist you in the selection of a new companion. To help ensure that the proposed adoption is in the best interest of the animal, you, and your family, please complete each of the following questions as thoroughly as possible. Completion of this application does not guarantee adoption of a Home At Last animal.

You may also print and mail this form to:
Home At Last Animal Sanctuary
P.O. Box 144
Salvisa, KY 40372

In order to be considered as an adopter you must:

Be 21 years of age or older.
Have identification showing your present address.
Have the knowledge and consent of your landlord, if applicable.
Be willing and able to spend the time and money necessary to provide training, medical treatment and proper care for the animal.

Applicant Information

Name: *

Phone: *

Email Address: *

Street Address: *

City: *

State: *

Zipcode: *

Animal History

How many other companion animals do you have?: *

If so, please list each animal, approx breed, age, sex, and length of time in your care:

Are they all spayed/neutered?: *

Yes

Are they all current on their vaccinations?: *

Yes

Are your dogs on Heartworm preventatives?:

Yes

Do your cats go outside?:

Yes

What experience have you had introducing your current pets to new animals?:

If you've ever given up a pet before, please explain why.:

Have you ever applied to adopt from Home at Last before?: *

Yes

Please provide your Veterinarian’s contact info:

Please list a non-family personal reference's contact info: *

Are you willing to have a representative of Home At Last come to see where your pet will be living?: *

Yes

Other comments by applicant?:

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Adoption Form

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