Adoption Application

Adoption Agreement

I agree to take over the ownership of the above mentioned animal(s) from The Moon Dog Farm (MDF). As an integral part of my ownership I agree to treat my new family member(s) with the best care that I can give. I agree never to cause harm, neglect, abuse, or abandon my new pet or allow others to do so. In the event that I can no longer take care of my adopted animal(s) I agree to contact a member of MDF at: info@TheMoonDogFarm.com or (928) 288-6097. The animal must be re- turned to the care of the sanctuary if I am unable to maintain ownership. Under no circumstances am I able to re-home the adopted animal without first contacting MDF using the above information.

Yes, I agree.

I agree not to have this animal euthanized unless absolutely medically necessary, and that if COST of care is an issue, I will contact the MDF about allowing them to take over medical care and ownership of the animal.

Yes, I agree.

This animal may not be kept for any purpose other than a household pet, including but not limited to; meat, fur, pet food, bait, sale, petting zoo, science project or display.

Yes, I agree.

Housing Agreement

I agree that if I must relocate or move from my current residence that I will take my new animal(s) with me as well as contact MDF with my new information in order to keep records current. I agree that this animal will be housed indoors at all times and will NEVER be housed in any outdoor enclosure. I agree that when/if the animal is allowed outdoors, that it will be supervised at all times.

Yes, I agree.

I understand that a great diet is beneficial to the health and well-being of guinea pig(s) or Rabbit(s) I am applying to adopt. I agree to feed the appropriate aged Oxbow or Sherwood pellet food, daily vitamin c (for guinea pigs) ample -unlimited timothy hay and daily fresh greens. I will also make sure to have proper husbandry with habitat, toys, litter, bowls, water bottle(s) hideys, and what and will be sure to have proper enrichment toys/exercises for my pet. I understand that a member of The Moon Dog Farm go over this with me at time of interview.

Yes, I agree.

Liability

Upon signing this contract, I understand that Moon Dog Farm is no longer responsible for the financial costs of caring for this animal, including veterinary bills incurred after the adoption. I also agree that MDF is not responsible for damage that this pet may cause to my persons or property. I understand that MDF has disclosed any known medical information at the time of adoption.

Yes, I agree.

Adoption Fees

	Single	Bonded Pair
Rabbits:	$100	$125
Guinea Pigs:	$35	$60
Hamsters/Gerbils/Mice:	$10	$15

The adoption fees are non-refundable donations to the Moon Dog Farm and not a purchase price for the animal(s) or any supplies that I am acquiring. If for some reason I must return/surrender the adopted animal(s), I understand that my money will not be refunded for any reason.

Yes, I agree.

Adopter Name (required)

Street Address *

City *

State *

Zip *

Phone *

Email (required)

How long have you lived at this address? *

If you are NOT the home owner, please provide the name and contact info for the owner of the home

How many people live in this home? *

Please confirm if you:
Own the homeRent the homeLive with parentsOther

If you rent, does your lease state you are allowed to have rabbits or guinea pigs?
YesNo

How did you hear about The Moon Dog Farm?

How many children do you have and what are their ages? *

Have you ever had a guinea pig before?
YesNo

Have you ever had a rabbit before?
YesNo

Was your Rabbit spayed or neutered?
YesNo

Was your rabbit litter box trained?
YesNo

What was the age and sex of your guinea pig or rabbit?

What happened to the pet? If it died, how did it die and how old was it?

References *
Please provide the names and phone numbers or email addresses of three non-related personal references. We may check your references before an adoption is approved. Please understand that these steps are taken to ensure the safety and future happiness of all pets leaving our rescue.

Please describe what type of habitat the animal would be in. *
C & C cageMidwest Cage for guinea pigsI will use fleece or carefresh for litterX pen or free roam for rabbits

Where in your home will your pet reside? (bedroom, living room etc) *

Do you have an exotic animal veterinarian?
YesNo

If yes, please name the veterinarian

We at times request a home visit prior to approving an adoption. This would be a one time visit at your convenience *
Yes, The Moon Dog Farm may contact me to arrange a home visit if they feel it is necessaryNo home visit please

Additional comments/questions:

Name/Type of animal you want to adopt *

Adopter Signature (please retype your full name)

Date