Animal Adoption Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Animal Adoption Application

Mules N More Rescue and Rehab adoption application

Email *

***Applicants must be 18 years of age or older to apply for animal adoption.

***This application must be approved by Mules N More Rescue and Rehab before the applicant is able to adopt.

***The application to adopt may be denied for any/various reasons at the discretion of Mules N More Rescue and Rehab.

***Mules N More Rescue and Rehab reserves the right to conduct a background check on each applicant, and/or request pictures/videos/in person home check of where the adopted animal will live.

***Our adoption contract is a life long contract. If for any reason during the animal’s life, you can no longer care for or keep it, our contract requires that the adopted animal be relinquished back to Mules N More with no refund of your adoption donation.

***By checking the box below, I attest that I have read, understand, and agree to the adoption policies of Mules N More Rescue and Rehab.

***By checking the box below, I agree not to hold Mules N More Rescue and Rehab liable in the event of injury, death, accident, or any damage to any human, animal, or property, as a result of the activities or actions of the animal(s) I adopt.

I AGREE TO THE TERMS AND CONDITIONS OF MULES N MORE RESCUE AND REHAB ADOPTION APPLICATION

Required

First and last name *

Date of birth *

YYYY

Street Address *

City, State, Zip Code *

Email *

Phone number *

Place of employment and job title *

Have you ever been convicted of a felony? *

Yes

Required

Have you ever been convicted of sexual crimes? *

Yes

Required

Have you ever been convicted of animal cruelty or have animals removed from your possession for any reason?
*

Yes

Required

Please list ALL currently owned animals (indoor and outdoor) and please include:

1- Species/breed for each animal

2- Sex for each animal (fixed/not fixed/male/female)

3- Date of birth or approximate age for each animal

Please select your level of experience with the species of animal you are interested in adopting:
*

Beginner: This is my first time owning and caring for this kind of animal.

Novice: I have some experience with this kind of animal, I had this kind of animal growing up, or I owned this kind of animal in the past but I am still learning how to take care of and handle them on a daily basis.

Intermediate: I have owned this kind of animal before. I have experience handling more complex situations and I can handle an animal that may have some minor behavioral problems, or I am comfortable handling and taking care of these animals on a daily basis.

Advanced: I have many years of experience with these animals and I am very comfortable dealing with any complex behavioral issues. I am very comfortable handling and taking care of these animals on a daily basis.

Required

Name of Mules N More Rescue animal you are interested in adopting (if you don't see an animal's name on this list, they are NOT currently available for adoption. Please wait to apply until they are available. Like/follow our facebook to keep tabs on when animals are made available for adoption) *

Betty & Bobby

Babe & Ranger

Patti

Rose

Wanda

Kentucky Charmer (KC)

Required

Please provide a brief description of why you want to adopt this animal (include any traits you’re looking for, life long plans with the animal, what drew you to apply to adopt this specific animal?):
*

Address of property where animal will be kept if not at your home residence:
*

Do you own the property the adopted animal will be kept?
*

I own the property

I rent/lease the property

I will be keeping my adopted animal at a boarding facility or paying someone else to keep the animal on their property

Other:

Required

Please provider a name and phone number for a Veterinarian reference *

Please provider a name and phone number for a Farrier reference (if applicable)

Please provider a name and phone number for a Personal reference (not related to you)
*

By checking the box below, I affirm that all information provided in this application is true and complete. I understand that any false information or omissions may disqualify me from further consideration for adoption if discovered at a later date.
*

I agree

Required

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms