Avian Adoption Application

Thanks for your interest in adopting a farm animal from Heartland Farm Sanctuary! Please understand that our application is designed to ensure the best possible placement for the animals and that all information will remain confidential.
Here's how to apply:
Option 1: Fill out the following online form and click the 'Submit Application' button below.
Option 2: Download the Printable Avian Adoption Application* and mail completed form to:
HFS, PO Box 45746, Madison, WI 53744
* To view and print PDF files, you must download and install Adobe Acrobat Reader.
Contact Information
* Your Name:
* Address:
* City, State Zip: ,
* Daytime Phone Number:
* Evening Phone Number:
* E-mail:
Note: E-mail is our preferred method of contact. Our e-mail may be blocked by your filters; please check your junk e-mail folders if you have not received an e-mail from us confirming receipt of your application.
Employer Information
* Employer:
* Employer's Phone:
* Employer's E-mail:
* Position/Title:
* How long there?
Veterinarian Information
* Veterinarian's Name:
* Address:
* City, State Zip: ,
* Phone Number:
* May we contact him/her?  Yes No
Property Information
* What species are you looking to adopt and how many?
* Does your local zoning allow for this type of pet?  Yes No
* Do you own or rent your home?  Own Rent
* How long have you owned or rented your home?
* If renting, please provide your landlord's contact information.
Landlord Name:
Landlord Phone or E-mail:
* Do you have a fenced-in area for your bird(s)?  Yes No
If yes, describe the fenced-in area:
Please be specific, include approximate dimensions, plus type and height of fencing.
* If adopting ducks or geese, do you have a pond/swimming area?  Yes No
If yes, describe the pool/swimming area.
Please be specific, include approximate size, depth, whether it is year-round or seasonal, and whether it is fenced in.
* What type of shelter will you provide for your birds?
    Please specify exact dimensions.
* How will you accommodate over winter?
* Please describe your property and what living conditions you will provide:
Household Information
* How many adults live in your home?
* Number and ages of children in your home: (If no children, enter 'none')
* Who will be responsible for caring for your bird(s)?
* Please list current pets in household, including species, gender, and age:
* Are your pets spayed/neutered?  Yes No
If not, why?
* Have you ever owned bird(s)?  Yes No
If yes, how many? What species?
What happened to your bird(s)?
Avian Care
* Why do you want to adopt this type of pet?
* Does your vet care for avian pets?  Yes No
If not, please list the name and number of the vet you will be using:
What will you be doing with the bird(s) eggs?
* What will you do with your birds if you go on vacation?
* What would you do if your bird(s) became ill or needed expensive veterinary care?
* What would you do if you became ill and could no longer care for your bird(s)?
* What are your views on euthanasia?
* Are you committed to care for the bird(s) for the duration of their life? Please explain.
   (Note: They can live up to 20 years, depending on species and breed)
* In what way have you educated yourself on the proper care of this species?
Is there anything else you would like us to know?
References
Please enter the name, phone number and e-mail address of two references:
* First Reference Name:
* First Reference E-mail:
* First Reference Phone:
* Second Reference Name:
* Second Reference E-mail:
* Second Reference Phone:
HFS Visits
Pre-Adoption Visit: Can someone from HFS do a home visit to be sure that you are prepared to own this type of animal (adequate space, adequate shelter, supplies ready for pet's arrival, etc)?
* Please list available days/times for a pre-adoption visit:
Post-Adoption Visit: Can someone from HFS do a post-adoption visit to be sure that the adopted animal is adequately setting into his/her new home, and is doing well in the new environment and with any other animals present?
* Please list available days/times for a post-adoption visit:

I hereby certify that the information I have provided above is true and complete to the best of my knowledge. I also understand that I will be asked to provide an adoptions fee.
* Applicant's Signature:

To complete this application, please click the 'Submit Application' button below. Thank you!