| Tell
Us about Yourself:
Please complete the entire application as incomplete
applications will NOT be accepted |
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| Address: |
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| City: |
State:
Zip:
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| Telephone: |
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| Applicant Age: |
18 years or older:
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Email Address:
(This is how we contact you -- please be accurate) |
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| Living Area: |
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| Please select all that apply: |
Own:
Rent:
Rent w/roomates:
Living w/parents:
Student:
if renting, does your landlord allow pets:
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| List all human members
of household and ages of children: |
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If children
are in the household, what will be their role in caring for the guinea
pig: |
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Does anyone in the household have
allergies to animals |
If yes, please describe:
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| Tell Us
About Your Pets (Current and Past) |
| Do you currently have any pets? |
If yes, please describe. Include all pets, types, age, sex, spayed/neutered.
Specify where they are kept and how long you have owned them.
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| Name of Vet, City, Phone (if Applicable): |
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| Is this an exotic vet: |
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| Are you aware of the costs involved for regular vet care? |
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List all pets
no longer owned for the past 5 years. Include type, age, sex, how pet
was obtained, and why you no longer own the animal: |
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| Have you ever surrendered or given-up an animal? |
If yes, describe the circumstances:
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| Are you planning on moving soon? |
If yes, when?
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| Who will be the primary caregiver for the guinea pig?
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Is there a particular guinea
pig(s) you're are interest in adopting? (not required) |
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| Reason for wanting
to adopt a guinea pig: |
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How much
time will have have to spend with the guinea pig and describe how frequently
the guinea pig will be held and taken out of its cage: |
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| What will you do with the guinea pig when
you go on vacation? |
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| Do you already own a cage? |
If yes, describe it:
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| Describe where the guinea pig cage will
be kept: |
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While not required for an
adoption, a home visit is often part of our adoption process. Would
you object to a home visit?
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| Have you applied or adopted a guinea pig
from us before? |
If yes, please describe:
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| How did you hear about us? |
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