Your Name

Address City Zip
I am interested in Adopting Type of Animal:
Why do you want to adopt this animal?
Have you cared for this type or a similar type of animal before?  
Have you researched the required care/needs for this type of animal?  
Why do you believe you are prepared to adopt an exotic pet or bunny:

Do you currently own a pet?    
If YES, please list Breed/mixes, Sexes and Ages
Have they been spayed/neutered?
Current on Vaccinations?
Do you treat with Flea/Tick Meds?

If you answered NO on any of the above, please explain

Have you owned pets in the past?
What happened to the pets you no longer have?
If YES, please list Breed/mixes, Sexes and Ages
Have you ever turned your pet into a shelter?
If YES, please explain
What kind of food do you give your animals? How often?
Where will the pet be kept during the day?
Where will the pet be kept at night?
Is someone home during the day?
If YES, who?
How many hours/day will the animal be without human companionship? Please explain
If your new pet is not housebroken, what training method will you use?
Are you willing to exercise/play with the pet on a regular basis?
Will you let the animal out in a backyard?
Are there times the pet will be tied up?
Who will be responsible for caring for the animal?

Will the pet spend any time in the garage?
Do you have a completely fenced yard?
Is there a gate?
How many adults are in your family?  
How many children are in your family? Children's ages (if applicable)
Does anyone in your household have allergies?  
Who is your veterinarian? Required within 10 days of adoption - Please provide name, phone, and address
Are you willing/able to pay for emergency veterianary care if the need should ever arise?
What will you do if you become unable to care for the animal?
Do you own or rent your home? If you RENT, may we contact your landlord?
  Landlord's Name and Phone Number