ADOPTION APPLICATION

Please complete all fields. Enter N/A when not applicable.

Adopter Information
Name:
Address:
City:
State:		Zip Code:
Home Phone:
Work/Cell Phone:
Email:
Referred By:
Miscellaneous Information
Are you 18 or older?		Yes No
Are potbelly pigs legal in your city?		Yes No
Have you ever owned a potbelly pig?		Yes No
Are you aware of the size of an adult potbelly pig?		Yes No
Have you seen a potbelly pig at least 4-5 yrs old?		Yes No
Will this pig be kept indoors or outdoors?		Indoor Outdoor Both
Will this pig be kept in a pen?		Yes No
If so, what size? What will it be made of?
If living outdoors, what type of outdoor enclosure will be available to protect from the elements?
What type of bedding will be provided for the pig?
Do you have a fenced yard?		Yes No
Is your yard landscaped?		Yes No
What type of plants are in your yard?
What type of water source will be available for drinking/wallowing?
Will the pig have access to shade, sunlight, and a dry area in the winter?		Yes No
If pig is going to be an indoor pig, will there be access to outside when you’re away?		Yes No
For indoor pigs, what type of flooring do you have?
How many hours a day will the pig be left alone?
When you travel, do you have an experienced pet sitter available?		Yes No
Are you aware of proper feeding and where to buy potbelly pig food?		Yes No
Is everyone in your family happy about adopting a pig?		Yes No
Do you have any other animals?		Yes No
If so, please list species, breeds, and how many of each:
How do your animals get along with new animals?
Do you have children?		Yes No
If so, how many/what ages?
Have you ever rehomed a pet?		Yes No
If so, how many, when and why?
Do you own or rent your property? If renting, we will need written permission from the landlord		Own Rent
Do you live in a condo or townhome?		Yes No
Are you subject to HOA or CC&R guidelines? If yes, we will need a copy of the HOA/CC&R		Yes No
Do you have a specific pig you’d like to adopt?		Yes No
If so, which one?
If not, what type of specific characteristics are you looking for? (Age, color, gender, and indoor or outdoor)
Are you adopting a second pig?		Yes No
If so, do you have experience with pig intros?		Yes No
Veterinarian Information
Please provide the contact information for the pig experienced vet you intend on using to treat your pig.
Vet/Clinic Name
Address
City:
State:		Zip Code:
Office Phone:
Fax Number:
Email Address:
Personal References
Please provide contact information for three personal references that can speak to your character and your home environment.
Name:
Address:
City:
State:		Zip Code:
Phone:
Relationship to you:
Years Known:
Email

Name:
Address:
City:
State:		Zip Code:
Phone:
Relationship to you:
Years Known:
Email

Name:
Address:
City:
State:		Zip Code:
Phone:
Relationship to you:
Years Known:
Email

Do you have any questions about pet pigs? The adoption process? Pig introductions? Anything you need to ask before adopting a pig?

Application Agreement
By submitting this application, I affirm the facts set forth in it are true and complete. I understand that if my application for adoption is approved, any false statements, omissions, or other misrepresentations made by me on this application may result in immediate denial and forfeiture of any/all paid adoption fees.
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