This form is for ALL animals EXCEPT POT BELLY PIGS & ALPACA. They have a different application to fill out that can be found on the Pot Belly Pig Page & the Alpaca page. Please make sure you are filling out the correct application form. (revised 4/22/07)  NO adoptions West of the MISSISSIPPI. NO exceptions. Your vet MUST send his refrence to us within 10 days or the animal(s) will be put back up for adoption and the processing fee will not be refunded. Sorry but we have had far too many vets take months to send us refrences.
	First Name
	Last Name
	E-Mail Address
	We will need your SS number and a copy of your drivers liscence, on the hard copy you sign when you collect your new pet. Since this is not a secure site, for privacy reasons, we don't ask for it here.
	Address
	City
	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 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 Code
	Home Phone
	Work Phone
	Gender	Female Male
	Weight (needed if you plan to ride)
	Date Of Birth
	Name Of Animal you are interested in?
	Species	Donkey Goat Horse Mini Donkey Mini Horse Mini Mule Mule Pony Sheep
	Veterinarians Name
	Vets Phone Number
	Vets FAX Number
	Vet address for sending his refrence form to fill out
	Name of Farrier
	Farrier phone Number
	Name & Location Where Animal will be housed
	Name & Phone Number of Stable Manager
	Name & Phone numbers of 2 Personal References
	I am aware that I am responsible for ALL costs incurred should I need to return an animal to HHRF. And that HHRF does NOT refund any adoption fees.
	NO application will be processed until the fee is paid.
	I am sending my 20.00 Processing Fee by paying with	PAYPAL now Check within 7 days
	If approved I will send my 50.00 deposit for this horse by	PAYPAL when approved Check within 7 days of approval Not applicable this is not a horse
	7 days after an equid has been approved for adoption the adoptor is responsible for board of 100.00 a month, along with farrier, vet and deworming needs. We hope you understand we need to do this as animals that are adopted and remain here for months, prevents new animals in need from arriving and still require our full time care.
	I need hauling service	Yes please quote me a fee No I have a way to haul myself
	I have read the FAQ's page	yes no
	I Agree to the terms & conditions of this contract;	YES NO
	Additional comments or questions