Adoption - Adoption Form

Primary Caregiver’s: First Name *

Last Name *

Other last names or aliases

Spouse's Name

Spouse's Cell Phone

Spouse's Work Phone

Address *

Address2

City

State *

Zip *

Home Phone *

Cell Phone

Email *

Current Employer

Years with this Employer

Work Phone

Annual Income

1. Reference: Name *

Phone *

2. Reference: Name *

Phone *

Have you ever been charged with/convicted of an animal cruelty related crime? If so, please explain.

Have you ever been convicted of a felony? If so, please explain.

Do you live on your property?

How long?

Do you own or rent your property?

Is your area zoned for equine?

Have you owned donkeys before?

How many donkeys do you hope to adopt?

What type of fencing is around the donkey pen?

Is the property free of junk and debris?

In the past 10 years, have you given away or sold any donkeys? If so, please explain. In the past 10 years, have you had any donkey die while in your care? If so, please explain.

Describe the shelter that the donkey(s) would have access to, including size and whether or not it is fully enclosed (include pictures) *

Shelter Picture upload:

Describe the area where the donkey(s) will roam, including size, fencing, access to water (include pictures)

Roaming Area Picture upload:

Additional Picture upload:

What other animals do you have?

Are any of these animals kept in the same pasture/paddock?

Are all male equine castrated?

Veterinarian's Name & Phone Number: *

Farrier's Name and Phone Number: *

For what purpose are you hoping to adopt? Check all that apply:

Donkey Companion
Horse Companion
Pet(s)
Guardian
Livestock Companion
Equine Assisted Therapy

Do you own a truck and trailer?

If not, do you have access to them?

Have you read and agree to abide by PVDR's Adoption Policy?

Are you a legal US Resident of Legal age?

Do you agree to return the donkey(s) to PVDR if you can no longer care for them?

Do you live in a disaster prone area?

What types of disasters are common in your area?

Do you currently have an evacuation plan?

If not, would you allow PVDR to help you develop one?

In a disaster, can you offer help to other PVDR adopters?

If so, in what way? Transport, Temporary Housing, Other

Is there any other information you’d like us to consider?

Notes:

Please fill in all required fields.

If you have received an error during submission of this application or are otherwise unable to submit, you may need to try a different browser (i.e. Google, Chrome, Safari, etc). If you are still unable to submit, please call our office at 866-366-5731 Monday-Friday 8am-3pm Central Time and we will be happy to assist you. Thank you.

Adopter Information