Adoption Request Form ADSA

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The American Domestic Skunk Association, Inc.
Adoption Request Form

ADSA is a Non-Profit 501 c3, international organization whose philosophy is "To Educate is to Protect." They currently have members in 38 states and 5 countries. Officers and representatives are not compensated for their work and rely on your donations to help fund their many programs. ADSA works to find homes for adult skunks in need and also has baby skunks for sale in the spring of each year. Babies skunks are not shipped, they must be picked in Central Florida.

Please do not fill out an application unless you have verified you are in a state that allows pet skunk ownership. Both incomplete applications and applications from illegal states will not be forwarded to ADSA.

USDA Certificate No. 58-B-0440

	In order to quickly process your application, please answer all questions completely.

Name

Street Address, City, State, Zip Code

Email Address

	Please include the best time to reach you by phone.

Telephone Number-Home

Telephone Number-Other

Have you previously owned a skunk?

	Yes
	No
	I presently own one or more.
	Other

Do you have other pets?

	Yes
	No

If yes, please list what type.

Do you have children living at home?

	Yes
	No

If yes, what are their ages?

Are you mainly interested in adopting a baby skunk?

	Yes
	No

Do you have any interest in adopting an older skunk in need of new home?

	Yes
	No
	Would like more information

Do you have a preference in the color and/or sex of the skunk you wish to adopt?

Do you have a Vet who is willing to treat a pet skunk?

	Yes
	No
	Not yet

If yes, please list their name, address and phone number. We will only use this information to build a national data base of Veterinarians who treat skunks. We will not call your vet.

How far are you able to travel to obtain your skunk?

Do you currently possess any permits which your state may require in order for you to own a pet skunk?

	Yes
	No
	Other

If yes, please list state and permit number.

Tell us about yourself. Work, hobbies, etc.

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The American Domestic Skunk Association, Inc. Adoption Request Form

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The American Domestic Skunk Association, Inc.
Adoption Request Form