ATTENTION:  This application is not for dogs; this application is for animals such as rabbits, guinea pigs, etc.

If you do not receive a response to your submitted application within 2 business days, please contact JoAnn at 574-400-5633 or smallanimals@heartlandsmallanimalrescue.org

I am interested in
Enter the name of the specific pet you would like to adopt. If you are interested in several pets, enter all names. If you cannot remember the name, just enter a description of the pet and the type (e.g., brown and white mouse).
Species *
ATTENTION: This application is not for dogs.
Applicant Information
Name *
Name
Address *
Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
Are you 18+ years old?
Where do you live? *
Do you own or rent your home? *
Are Current Pets Spayed/Neutered?
Do you have a cage or pen for your pet? *
Please include all dimensions - length, width and height. Be sure to include number of levels, if applicable.
Do you ever plan on allowing the small pet outside? *
If yes, please identify the allergen.
Please list name, age, & relationship.
Please list vet clinic, location, names of pets treated there, and name they were treated under.
Vet's Phone Number
Vet's Phone Number
This can be a friend, family member, employer or member of the clergy. Be sure to include name, address and phone number.
Do you agree to allow a Heartland representative to perform a home visit before and after adoption? *
A home visit is not required for all adoptions, but may be requested at any point after adoption.
Have you ever owned a rescue animal? *
Where did you hear about this pet?
Please type in your name.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.