Pages Navigation Menu
Media Center
Home
About
COVID-19
Meet The Staff
Our Mission
History
Campaigns
Food for Thought
Free for Life
Compassion Campaign
Contact Us
Visit
Tours
Guest House
Upcoming Events
Directions
Shop
Animal Place’s Shop
Panda Bob Shirt
Advocacy
Animals
Learn The Issues
Cows
Pigs
Turkeys
Goats
Chickens
Sheep
Rabbits
Donkeys
Rescue & Adopt
Farmed Animal Adoption
Placement Assistance
Rescues
Get Involved
Volunteer
Internships
Job Openings
Stay in Touch
Try Vegan
Ways to Give
Zelda Legacy Circle
Stock
Retirement Donations
Monthly Donation
Cryptocurrency
Workplace Giving
Financial Information
Privacy Policy
Donate
Home
»
Uncategorized
»
Chick Adoption Form
Chick Adoption Form
28
Oct
Like This? Share This!
Facebook
0
Twitter
0
Name:
*
First
Last
E-mail:
*
Address:
*
Street Address
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Phone:
*
Area Code
-
Phone Number
Do you own, rent, or lease?:
*
I am legally zoned to house
*
Yes - Hens and Roosters
Yes - Hens Only
No
I Don't Know
Provide Landlord Name & Contact Phone
Radio:
I confirm I am approved to have chickens on my property
I am (note: we adopt to qualified homes, regardless of diet)
*
Vegan
Vegetarian
Omnivore
other
My interest in adopting (check all that apply)
*
Companion animals
Eggs for personal consumption
Saving lives
Helping birds in need
Eggs for sale
Do you currently have chickens?:
*
Yes
No
How many chickens do you have?
What is the longest you have had a chicken live?
Age of your oldest chicken?
Have you taken your chicken to a veterinarian for treatment, if needed?
Yes
No
Have you had chickens in the past?
Yes
No
What is the longest you have had a chicken live to be?
What other domestic species live on your property (check all that apply):
*
Dogs
Cats
Cows
Sheep
Goats
Chickens
Turkeys
Guinea Fowl
Emu/Ostrich
Waterfowl
Potbellied Pig
Farm Pig
None
other
I am interested in adopting (check all that applies)
*
Hens
Roosters
Chicks
How many hens?
*
How many roosters?
*
None
1
2
3
I plan on doing the following with the eggs (check all that apply)
*
Eat them
Give them away
Sell them
Feed them back to birds
Feed them to other animals
I will collect eggs:
*
Daily
Every other day
Weekly
Never
other
I have roosters
*
Yes
No
I allow my hens to incubate eggs:
Yes, always
Yes, if hen is broody
No
other
I purchase chicks/chickens from the feed store, mail order hatcheries, and/or breeders:
*
Yes, currently
In the past, but no longer
No
These chickens may live another 4-10 years. Their egg production may decline in 1-3 years. Are you prepared to keep these hens the remainder of their lives?:
*
Yes
No
Not sure
Do you have an avian veterinarian?
*
Yes
No
Veterinarian Name
I have a temperature controlled area the chicks can be in (at night) until they are large enough?
Yes
No
Maybe
Do you have experience caring for chicks less than 2-3 months old? Please share.
Coop dimensions (where chickens sleep at night, e.g. 3'x5')
*
My coop has (check all that apply):
*
Four walls
Door
Solid roof
Concrete/solid floor
Dirt floor
My coop includes (check all that apply):
*
Perch(es)
Water
Food (not neccessary at night)
Straw/shavings
Nest boxes
I clean out my coop:
*
Daily
Every other day
Weekly
Deep litter
other
Dimension of outdoor run (e.g. 10'x20')
*
Fencing Height (e.g. 6'). If fencing is chain link or field fencing, how large are the holes (e.g. 1"x1")
*
My outdoor run includes (check all that apply):
*
Feed
Water
Shade
Enrichment
I clean my run:
*
Daily
Weekly
Monthly
Frequent spot checks
Too large to clean
other
I have had chickens killed by predators in the past:
*
Yes
No
This is my first time having chickens
Describe what happened and what, if anything, was done to fix the problem.
My predator protection includes (check all that apply):
*
Lock my chickens up at night
Fencing prevents climbing predators
Fencing prevents digging predators
Hot wire/Barbed wire
Chicken friendly dog
None
other
I feed my chickens:
*
Layer crumbles
Layer pellets
I do not have chickens
other
I collect feed before the birds are locked up at night?
*
Yes
No
I keep chicken feed in an airtight container or a rodent proof shed?
*
Yes (to best of my ability)
No
other
I use the following to control rodents (check all that apply):
*
Exclusion
Poison
Snap traps
Glue traps
Cats
Rodent birth control
Do not have rodent problem
Nothing
other
What is the best time to reach you by phone?:
*
How did you hear about Animal Place's adoption program?:
*
I'd like to:
Join Animal Place's e-news list
Join Animal Place's mailing list (information kept private)
Neither
Word Verification:
Submit
Reset
No Comments.
Leave a Comment
Click here to cancel reply.
Click here to cancel reply.
←
Previous Post
Next Post
→
Recent News
Rodeos: Myths vs Facts
Celebrating Motherhood in Animals
Animal Place Advocacy Alerts: Make a Difference!
The Truth about Cow Ranching
Join The E-news List
Click Here To Join!
Connect With Us
Like Us On Facebook