Adoption Form

All adoption requests must apply via the form below. Settlers Pond management
will interview, and may request more information, from any person requesting to
adopt an animal. An inspection of the prospective home may be requested prior
to placing an animal. Being accepted as an adoptive home is at the sole discretion
of Settler's Pond management.
No exotic animal will ever be placed in a private home or with a private
party. Only domestic animals will be placed in private homes. Exotic
animals will only be placed with established zoos or wild animal shelters and preserves.

THIS FORM CAN BE FILLED OUT ONLINE, BUT THEN
MUST BE PRINTED AND MAILED TO:

Settler's Pond Hooved Animal Shelter & Rescue
1301 E. Offner Road, Beecher, IL 60401

	Name Address Phone Number E-Mail Address What type of animal are you interested in adopting? Do you intend to breed this animal? Yes No Many animals can live 15 to 20 years. Can you make a life-long commitment? Yes No What arrangements will you make for your animal during vacations or business trips? What steps will you take if your animal is ever lost or found missing? Have you ever adopted an animal before? Yes No If yes, please list type of animal and its current status. Do you own any other animals at the present time? Yes No If yes, what species and how will they coexist? Have you ever had the need to surrender an animal to a shelter? Yes No If yes, explain. What are your present living arrangements? House Condo Apartment Do you Own Rent What type of yard space, pasture or training cages do you have available (size and pictures)? Do you plan to move in the next six (6) months? Yes No How many adults live in your household? Children? Are the members of the household in favor of this adoption? Yes No Who will be the main caregiver? Please provide the name and address of your veterinarian. Or would you like a referral? Are you able to care for your adopted animal's needs: physically, emotionally and financially? Yes No Please provide any comments or information you think would be helpful in approving your adoption? Please provide three references (name, address, phone number) References

Name

Address

Phone Number

E-Mail Address

What type of animal are you interested in adopting?

Do you intend to breed this animal? Yes No

Many animals can live 15 to 20 years. Can you make a life-long commitment? Yes No

What arrangements will you make for your animal during vacations or business trips?

What steps will you take if your animal is ever lost or found missing?

Have you ever adopted an animal before? Yes No
If yes, please list type of animal and its current status.

Do you own any other animals at the present time? Yes No
If yes, what species and how will they coexist?

Have you ever had the need to surrender an animal to a shelter? Yes No
If yes, explain.

What are your present living arrangements? House Condo Apartment

Do you Own Rent

What type of yard space, pasture or training cages do you have available (size and pictures)?

Do you plan to move in the next six (6) months? Yes No

How many adults live in your household? Children?

Are the members of the household in favor of this adoption? Yes No

Who will be the main caregiver?

Please provide the name and address of your veterinarian. Or would you like a referral?

Are you able to care for your adopted animal's needs: physically, emotionally and financially? Yes No

Please provide any comments or information you think would be helpful in approving your adoption?

Please provide three references (name, address, phone number)
References