Domestic Pig Adoption Application 
 
First Name: ___________________    Last Name: ____________________   
Address: _____________________________ City: _______________ State: _____  Zip Code :_________ 
Home Phone Number :_________________  Work/Cell Phone Number :_______________________ 
Email Address: ____________________________ Age: ______ Are you currently working? __________  
If so, where?:________________________________________ 
Do you have a social media Website? ______ If so Where? : __________________________________ 
 
Do you have a medical condition that would limit your ability to care for the pig? : __________________ 
 
Does your local zoning allow pet pigs? : __________  Do you live in a home or apartment? :___________ 
 
Do you own your home? : _______  Do you live in a planned community? : __________ 
 
Do you have a fenced-in yard? : ________ Will your pig have his/her own pen or fenced area? : _______ 
 
Do you have an in-ground swimming pool or fish pond? : ________ 
 
Will the pig be required to use stairs to get in and out of your home? : _________ 
 
Number of adults living in your home: __________ 
 
Number of children living in the home and their ages: _________________________________________ 
 
Do all members in your household want this pet? : _______ Have you previously had a pig? : ________ 
 
If yes, what happened to him/her? : ______________________________________________________ 
 
Do you currently have a pet pig? : _______      If yes, is this pig altered? : ________  
 
If yes, is this pig vaccinated? : _______ 
 
If you do have a pet pig already, what is its sex and age? : ______________________________________ 
 
What other pets do you have? : ___________________________________________________________ 
 
Who will be responsible for caring for the pig? : ______________________________________________ 
 
Do you have a age Preference? : __________________________________________________________ 
 
Do you have a sex Preference? : __________________________________________________________ 
 
Do you have a color Preference? : ________________________________________________________ 
 
Where will the pig live? : ________________________________________________________________ 
 
Are you willing to adopt two pigs who are buddies? : __________________________________________ 
 
Are you willing to take an un-socialized pig? : ________________________________________________ 
 
Are you willing to take a special needs pet? : ________________________________________________ 
 
Is your home pig-proofed? : _______  Where will your pig sleep? : _______________________________ 
 
How many hours will the pig be alone each day? : ____________________________________________ 
 
Is there a safe place for your pig to stay during the day? : ______________________________________ 
 
Is there a safe place for your pig to spend his/her outside time? : ________________________________ 
 
Do you have a well-insulated house for the pig? : _____________________________________________ 
 
Do you have a way to heat this house in cold weather? : _______________________________________ 
 
Is there access to a wading pool or mud hole in the summer? : __________________________________ 
 
Is there a spot with all-day shade? : ________________________________________________________ 
 
Describe the living conditions you will provide. Please be very specific : ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
 
Veterinarian Name: _______________________________  Phone Number : ______________________ 
 
Are all your current male pets neutered? : __________________________________________________ 
 
Are all your current pets up-to-date on their vaccinations? : ____________________________________ 
 
Does your current vet care for Pet Pigs? : ________________________ 
 
If no, what is the name and phone number of a vet that you will use for your pig's care? :  
 
Veterinarian Name: _____________________________  Phone Number : __________________ 
 
I understand that the average weight of a full-grown potbellied pig is 75-150 pounds, some smaller and some larger, and that genetics determines size. Underfeeding the pig will not change his skeletal size and will only lead to health and/or behavioral problems. Over-feeding the pig or not feeding him food specific to his species will also lead to health and/or behavioral problems. Yes/No? : 
 
I understand that rooting is a basic natural instinct and that ALL pigs will root to varying degrees. This can lead to destructiveness in the house when they are bored and do not have other outlets or if they do not get enough outside time. It can also lead to destructiveness of lawn and flowerbeds. Yes/No? : 
 
I understand that dogs and pigs must be carefully monitored and should NEVER be left unsupervised together, even the most gentle dog and even if the pig and dog are best of friends. They are both animals with animal instincts. Dogs are predators and pigs are prey, and a dog can kill a pig if provoked. Yes/No? : 
 
I understand that a pig can become territorial. This can include growling, snapping, charging, or even biting to varying degrees. It is most common in house pigs but can also occur outside. In the wild, pigs are herd animals, and it is a natural instinct for them to try to test their dominance and become "top hog". Behavioral modification techniques can help. Because of this instinct, children and pigs must always be carefully supervised. Yes/No? : 
 
I understand that a pig should not be placed in a home until he is at least 8-12 weeks of age, properly weaned, and eating on his own. Earlier placement can lead to starvation and/or aggressive behavior. Yes/No? : 
 
I understand that spaying/neutering of all pigs is ESSENTIAL, not only for reproduction purposes but also for behavioral and health reasons as well. An unaltered pig does not make a good house pet. An unaltered pig may also develop reproductive organ disease when older and larger and no longer a safe surgical candidate. Yes/No? : 
 
In the case that this pig is to be a companion for a current pig, I understand there will be an "introduction" period between the two, whereby they work it out between themselves who will be "top hog". Yes/No? : 
 
I understand that this animal is a pig, and as such, I will allow him to be a pig. I understand that he has specific needs basic to his nature, and I will strive to meet those needs and appreciate the very qualities that make him such a unique and delightful creature. Yes/No? : 

What steps would you take to find a lost pet from your household? : ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
 
What would you do if your pet became ill and needed expensive veterinary care? : ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
 
What would you do if you became ill and could no longer care for your pet? : ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
 
What are your views on euthanasia and your animals? : _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
 
Please supply us with the name, phone number, and e-mail address of two references. :  
Reference #1                      Reference #2 
Name:  ______________________    Name:  ______________________ 
Phone: ______________________     Phone: ______________________     
Email:   ______________________   Email:   ______________________ 
 
Can someone come out and check your home to be sure it is safe (properly pig-proofed, adequate shelter, supplies on hand for pig's arrival, etc.)? : 
 
How far would you be willing to travel to pick up your pet pig? : 
 
Are you committed to care for the pig for his/her life? (It is estimated the lifespan of a potbellied pig can be up to 15-20 years)? : 
 
Do you have any questions/concerns that you would like to know more about when it comes to caring for a pig? : _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
 
Most importantly, in 60 words or more tell me, why do you want a pig as a pet? ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
 
I also understand that if I am chosen as an adopter for “Pig” I will be asked to provide a rehoming adoption fee to the current owner, Melanie Bolling, in the amount of $ 150 plus mileage, if applicable.  I also understand that if the adopted pig must be rehomed for any reason in the future, it must be returned to Melanie Bolling @ My Pig Filled Life Mini Pig Rescue.  No refunds will be made upon return. I will also be required to provide copy of local zoning showing that pigs are allowed at my residence. 

I ___________________________ hereby certify that the information I have provided above is true, correct, and complete to the best of my knowledge, and you may rely on this information to evaluate my application. 
 
Name: ______________________________________  Date:__________________ 
Applicant