Thank you for your interest in adopting a dog/puppy from St. Francis Farm. Our goal is to rescue as many dogs as possible and to place them into suitable homes for the rest of their days. With this adoption we hope that you will assist us in our goal by providing every opportunity for this dog to excel in your home. Adoption is a lifelong commitment. If you are ready and willing to make this commitment, take the next step and fill out this application!
Do note that each application will be processed and references will be contacted before our representatives contact you. It may take 3-5 days depending on how many applications we are processing. We will reach out to you as soon as possible.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Country
Email*
Home Phone*
Work Phone x
Cell Phone
Alt Email
Text/Pager Email
Name the dog you are applying for Choose an animal: ALEX ALFREDO ARCHIE BEE BELLA BILLI BIRCH BLUEBERRY BROWNIE BURTON CABELA CAL CALI CASSEROLE CHANDLER CHARCOAL CHASE CHASE CHERRIE CHIEF AKA SKUNK CHIQUITA CINNAMON COMET CUTTER DAISY DAPHNE DELILAH(terrier) DIAMOND DOLLY EBONY EEYORE Eleanor ENZO FERGAL aka RAMBO FERN FERRIS FINLO FLAME FOZZY BEAR GARLAND GENERIC KITTEN GHOST GINGER GREEN BEAN GREY GROVER HENRY HOAGIE HOLLY HOPE JASPER JR JUNIPER KATE KENNEDDY (dilute) KENNEDY KODA KREME nka Maddie LADY LASAGNA LEE LINDA LOKI LOU LOUIE MAC & CHEESE MAGGIE (SHIRLEY - Boston Terrier mix) MASON MAUI MINNIE MOOSE MURPHY NACHO NAOMI NIRO OAKLEY OATMEAL ODIN OREO PEARLA PERCY PIP POLLY PURRITO QUEEN RAIN RED REUBEN RIDGE RIVER ROCKY RUSTY SADIE SALVADOR SAMMY SAPPHIRE SCOUT SETH SHAWN SIRIUS SKIPPER SKY SNOWBELL SOPHIE SPICE STELLINE STORM SUGAR SUMMER SWEETIE SYLVESTER TEDDY BEAR TI-GER TULIP VEGAS WALKER WALLY (must be adopted with WHELCHEL and WHELCHEL) WHELCHEL (must be adopted with WALLY and WALLY) WINK WINONA WINSLEY XYLA YEOL ZANDY ZIGGY
Name of the dog, if you are apply for more than one Choose an animal: ALEX ALFREDO ARCHIE BEE BELLA BILLI BIRCH BLUEBERRY BROWNIE BURTON CABELA CAL CALI CASSEROLE CHANDLER CHARCOAL CHASE CHASE CHERRIE CHIEF AKA SKUNK CHIQUITA CINNAMON COMET CUTTER DAISY DAPHNE DELILAH(terrier) DIAMOND DOLLY EBONY EEYORE Eleanor ENZO FERGAL aka RAMBO FERN FERRIS FINLO FLAME FOZZY BEAR GARLAND GENERIC KITTEN GHOST GINGER GREEN BEAN GREY GROVER HENRY HOAGIE HOLLY HOPE JASPER JR JUNIPER KATE KENNEDDY (dilute) KENNEDY KODA KREME nka Maddie LADY LASAGNA LEE LINDA LOKI LOU LOUIE MAC & CHEESE MAGGIE (SHIRLEY - Boston Terrier mix) MASON MAUI MINNIE MOOSE MURPHY NACHO NAOMI NIRO OAKLEY OATMEAL ODIN OREO PEARLA PERCY PIP POLLY PURRITO QUEEN RAIN RED REUBEN RIDGE RIVER ROCKY RUSTY SADIE SALVADOR SAMMY SAPPHIRE SCOUT SETH SHAWN SIRIUS SKIPPER SKY SNOWBELL SOPHIE SPICE STELLINE STORM SUGAR SUMMER SWEETIE SYLVESTER TEDDY BEAR TI-GER TULIP VEGAS WALKER WALLY (must be adopted with WHELCHEL and WHELCHEL) WHELCHEL (must be adopted with WALLY and WALLY) WINK WINONA WINSLEY XYLA YEOL ZANDY ZIGGY
If you are not applying for a specific dog please describe the breed/age of dog you are looking to adopt.
Where did you learn about Last Chance Animal Rescue / St Francis Farm Animal Sanctuary?
What is the name of your employer? Enter self or retired if appropriate.
What is your current job title?
Employed since? (MO/YR)
What is your date of birth? (**We DO NOT adopt or allow someone to foster under 21 years of age**)*
Please list all members of your household other than yourself. Please include their relationship to you and their ages.
Does any member of your family have any allergies to animals? Choose one: Yes No
Please provide details if allergies are a consideration.
How many cats are part of your family?
How many dogs are part of your family?
Do you have other pets? Please specify.
What type of home do you live in?* Choose one: Apartment Condominium House
Do you own your home, rent your home or live with your parents? * Choose one: Live with Parents Own Rent
If renting, please enter your landlord's name and phone number. If you are living with family/parents please provide a contact for the home owner.
If you rent, have you received the approval of your landlord to have an animal? Choose one: Yes No
Do you have a fenced in yard? Choose one: Yes No
What type of fence? Choose one: Privacy Chain Link Invisible
If so, what is the approximate height of the fence?
Is the fence attached to the house? Choose one: Yes No
Please provide your Veterinarian's Name and Phone Number (Current/Past Pets) Enter N/A if this does not apply*
Name, type of animal, age and gender for current pets.
Are these pets Spayed/Neutered? Choose one: Yes No
Are these pets up to date on their shots? Choose one: Yes No
Please provide any additional details/comments about your existing pets.
Please describe all the pets you have previously owned in the last 10 years (MUST include Name, Type of Animal, Age, Gender, Year you got the animal, Year deceased, Cause of death or the last year you had the pet and where they are now).
Were these pets Spayed/Neutered? Choose one: Yes No
Please provide any additional details/comments about your previous pets.
Please provide NON-FAMILY reference, including name, phone # and their relationship to you.*
Please provide a NON-FAMILY reference, including name, phone # and their relationship to you.*
Are you willing to properly train your dog?*
Are you willing to take the time to housebreak a dog, and do you understand that changing a dog’s environment may cause the dog to have accidents?* Choose one: Yes No
If a behavioral problem arises, what steps will you take to work on it?*
How often will you exercise the dog and for approximately how long?*
Who will be responsible for feeding and taking the dog outside?*
Who will take care of the dog in your absence? *
How much time will the animal spend alone during the day*
Where will the dog be kept when you are not home*
Are you willing and able to accept financial responsibility for the expenses associated with caring for a dog? This includes preventative health care such as annual check-ups, vaccinations and emergency medical care in the event of illness or injury? This is in addition to regular care with the cost of food, supplies and equipment, toys, training and boarding? Please explain:*
Are you aware of the adoption fee of $300?
Would you object to an LCAR or SFF representative visiting your dog in their new home? ___Yes ___No
I, undersigned, agree to the following statements: • The information I provide will be verified before I am approved for adoption. • False statements or omissions of any of the above information will result in automatic refusal of adoption or confiscation of the animal. • Saint Francis Farm has the right to refuse the adoption of any pet to any person. • The adoption fee is non-refundable. • I am willing and able to accept financial responsibility for the expenses associated with caring for a dog. This includes preventative health care such as annual check-ups, vaccinations and emergency medical care in the event of illness or injury. This is in addition to regular care with the cost of food, supplies and equipment, toys, training and boarding. • I understand that this animal will require training to reach its full potential. I fully understand the risks involved with interacting with animals and agree to assume all liability. I agree to hold Saint Francis Farm and any and all of its affiliate programs harmless for any injury(s), loss or damages which I might sustain from interacting with the animals. This waiver includes myself, all of my family members and descendants forever from seeking any legal action whatsoever against Saint Francis Farm or its successor organizations or any representatives thereof. Enter your name and today's date*
Drivers License #, State of issue and Expiration date. You will be required to provide a copy of this license upon signing the adoption contract
