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Online application Coming Soon.

Thank you for your interest in adopting one of our pets. After you have completed the application, please expect 48 hours before you get a reply.

ALL ADOPTIONS AND FOSTER HOMES WILL BE FINALIZED THROUGH A LEGALLY BINDING CONTRACT.

ATTENTION: IF YOU DO NOT HEAR FROM A VOLUNTEER WITHIN 48 HOURS, PLEASE EMAIL us AS YOUR APPLICATION MAY BE LOST IN CYBERSPACE!

* = required

*Today's Date:
*Name or species of animal you are interested in adopting:
   
*Your Full Legal Name:
*Date of Birth:
Spouse (Roommate) Name:
Date of Birth:
*Address (Line 1):
Address (Line 2):
*City:
*State:
*Zip Code:
*County:
   
*E-mail Address:
*Home Phone: Please include the area code.
Cell Phone: Please include the area code.
*Who do you live with?
Ages:
   
How many adults in the household?
   
How many children in the household?
   
Please provide the gender and ages of the children:
   
*Do you rent or own?
Accommodation type:
If you rent, do you have your landlord's permission to keep a reptile?
Can you provide a copy of your lease?
   
Landlord's Name:
Phone Number: Please include the area code.
   
*How long have you lived at this address?
   
If under 2 years, please give your previous address:
Address (Line 1):
Address (Line 2):
City:
State:
Zip Code:
County:
   
*Do you have suitable caging prepared for the pet you are looking at now?
   
*Are you prepared for full adult sized caging for the pet you are looking at?
   
Please describe the current caging you have available. Type, height and approximate size.
   
*Please briefly describe the cage needed for this species of animal.
   
*Please briefly describe the diet needed for this species of animal.
   
*Who will be responsible for the care of this animal?
   
*Why adopt this species?
   
*Is the animal for your family or a gift for someone else?
   
If the animal is a gift, please explain further.
   
*Does the entire family want this pet?
   
If answering no, please explain who and why not:
   
*Do you know of any laws in your area that involve reptiles?
*Do you have other reptiles? Please give details.
   
*Any other animals? Please give details.
   
Please provide the details of your regular veteranarian:
*Name:
*Address:
*Phone Number: Please include the area code.
 
   
*Are you prepared for possible breeding season aggression, occasional times of handling issues related to shedding or other possible aggression issues?
   
*It may take several months for your new pet to adjust to it's new home. How will you handle this?
*Are you willing to commit to owning a reptile for the next 20-30 years if not longer depending on the species you are adopting?
*How did you hear about Small Scale Reptile Rescue?
Please provide 2 family members who will know your whereabouts for the next 5 years.
*Name #1:
*Address:
*Phone: Please include the area code.
*Relationship:
*Name #2:
*Address:
*Phone: Please include the area code.
*Relationship:
Please provide the names of 2 character references.
*Name #1:
*Address:
*Phone: Please include the area code.
*Relationship:
   
*Name #2:
*Address:
*Phone: Please include the area code.
*Relationship:
Is there any other information you would like to add? Please use the text field below.
*The information gathered on this questionnaire will be kept confidential. I certify that all information provided is complete and correct to the best of my knowledge.

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