Rocky's On-line Adoption Form

Thank you for your interest in adopting a ferret from Rocky's Ferret Rescue & Shelter! The first step in our adoption process is to complete this application form. The second step of the process is a telephone and/or email interview. The third step is a visit to the shelter. We welcome out-of-state applicatants, but please note that you MUST visit the shelter to adopt and we will NOT ship ferrets. Please understand that you need to go through our adoption process, be approved for adoption, and pay the adoption donation before any ferret is officially "yours." We cannot hold ferrets and deny them the opportunity to be adopted into a loving home.

This application is not a guarantee that a ferret will be placed with you. All information will be used solely for the purpose of adoption and will not be shared with anyone outside Rocky's Ferret Rescue. By completing this form, you grant permission for our agents to contact your landlord, veterinarian, and any other contacts deemed necessary.

This form may seem a bit long, and in depth, but the only reason we ask so many questions is to be sure we find the perfect home for our ferrets. They've already become homeless once, and we want to make sure their next home is forever.

In order for your application to be considered, please fill out all areas of the application. If you do not submit contact information, we will have no way of contacting you, and therefore your application will not do you or us any good. Please fill out the email information if you wish to be contacted. Also, if you're using AOL, please make sure we can actually reply to you! We prefer to use email, since its much less expensive than long distance telephone calls. Thank You!

First Name:      Last Name:

E-Mail:      Phone:

Address:

City:      State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming      Zip:

How did you hear about Rocky's? Please Select: Internet Business Card Adoption Other Shelter Word of Mouth Other

What kind of dwelling do you live in? Please Select: Single Family Home Duplex Townhouse Condominium Apartment Dormitory Other

Do you..? Please Select: Own Rent Live with Parents Other      Are you over 18? Yes No

If renting, provide your landlords name, address & Phone number:

Landlords Name:

Landlords Address:

Landlords Phone:

NOTE: All renters will be requested to provide a copy of their lease stating
permission to keep pets in the home. If this is not available, written permission from
your lanlord will be acceptable.

How many pets do you currently own? Please Select: 1 2 3 4 5 6 7 8 9 10-15 15-20 20+

Please list below what kinds of pets you currently own including their age:

What kind of pets have you owned in the past five years?

Of the pets that you have owned but no longer have, what happened to them?

Have you taken your pets to the veterinarian for any reason in the past five years?
If yes, why?

How many ferrets have you owned in the past? Please Select: 1 2 3 4 5 6 7 8 9 10 - 15 15 - 20 20+

How many ferrets do you currently own? Please Select: 1 2 3 4 5 6 7 8 9 10 - 15 15 - 20 20+

Where did you acquire your ferret(s)? Please Select: Pet Store Ferret Shelter Other Shelter Given to me A mix of the above Other

If you still own ferrets, what are their ages?

What happened to any ferrets that you once owned but no longer have?

Have your current ferrets been vaccinated? Please Select: Yes No

If so, when was the most recent vaccination?

What kind of vaccinations have your ferret(s) had? Please Select Rabies Distemper Rabies & Distemper Other None A mix of the aboveq

Please note that you should brings vaccination records of your current ferrets with
you when you visit the shelter to adopt. This helps us to verify that your ferrets
vaccinations are up to date.

Have your ferret(s) been exposed to ECE? Please Select: Yes No

Have your ferret(s) been tested for Aleutian's Disease Virus? Please Select: Yes No

If so, what test was used and what were the results?

Have you taken you ferret(s) to the veterinarian for any reason in the past five years?
why?

Where are your ferrets kept? Please Select: Cage Designated Ferret Room Free Roam Outdoors Other

If they are caged, how often/for how long are they given runtime?

What types of food(s) do you feed your ferrets?

Do you have a veterinarian for your ferret(s)? Please Select: Yes No

If yes, please list his/her name, address and phone number:

Have you read any books about ferrets/ferret ownership? Which ones?

Do you subscribe to any internet mailing lists (ie; Ferret mailing List)? Which ones?

Have you browsed the internet to find any sites about ferrets? Which ones?

How old do you think that ferrets live to be?

Are you interested in a adopting a ? Please Select: Hob (Male) Jill (Female) No Preference

What age of ferret are you interested in adopting? Please Select: <1 Year Young Adult Adult Older Adult Elderly No Preference

What is your color preference? Please Select: Sable Dark Eyed White Albino Silver Badger/Blaze Champagne No Preference Other

Please note, we do not always have adoptable ferrets in all color patterns.

Are you interested in a particular ferret? Please Select: Yes No

If so, which one?

Thank you for the information. If there is anything else you think would be helpful,
please list it below:

Rocky's Ferret Rescue & Shelter reserves the right to refuse adoption to anyone for any reason and to confiscate any ferret because of falsification of this adoption application. No ferret will be adopted to persons having an extensive history of losing, giving away, selling or having animals killed by automobiles. No ferret will be adopted to prospective owners who mislead or fail to provide accurate
information on the adoption application. No ferret will be adopted into areas where ferrets are illegal. No ferret will be adopted into a home that does not provide routine medical care, including vaccinations, to their pets. By pressing submit, you agree that all information given here is accurate & true.

Thank you for taking the time to fill out this pre-adoption questionaire.
We will review it and contact you.

Barbara Clay, Director of Shelter Affairs
Rocky's Ferret Rescue & Shelter