Please cut and paste this page into e-mail, answer the questions, and mail to info "at" vareptilerescue dot org (Take out the spaces and " marks, replace the "at" with an @ sign, and the word "dot with a period.). I apologize for the inconvenience, but I do plan on eventually making this page form-driven. Until then, this works.
Please note that questions left unanswered, or partially answered, are grounds for denial of any applicant. All questions are considered mandatory unless otherwise specified. I take these adoptions very seriously, and expect you to, as well. Therefore, please remember that my impression of you will go a long way in determining if you will be considered - which means I pay attention to whether or not YOU paid attention while filling this out.
Adoption Application
Name:_________________________________
Address:_______________________________
______________________________________
Phone(s) H:_________________W:___________________ E-mail address: ____________________________
Age (if under 18):_______ Occupation: __________________________
Have you ever been arrested for any crime relating to the neglect of, abuse of, or cruelty to any other person or any animal? ___________ If yes, please explain, give dates, location of trial, and outcome:
1. What animal are you applying for?
2. Do you live in a: House? Apartment/condo? Mobile home? with parents or relatives? Other?
3. If you rent, will your landlord object to your having a reptile?
4. How long have you lived at your present address?
5. Are you planning to move in the next 6 months? _____ If you move, what are you planning to do with your animal?
6. Have you adopted an animal before? If yes, what is the current status of that animal?
7. If you must give up this animal, what do you plan to do?
8. Have you ever brought any of your own animals to a shelter or rescue society? If yes, what were the circumstances:
9. Have you owned or cared for reptiles or amphibians before? If yes, what kind (species name): _______ If you no longer have these animals, please explain how long you had them and what happened to them.
10. Do you already have a veterinarian who is experienced in evaluating and treating reptiles and amphibians? If Yes, please show the name and phone number:
11. If your new animal gets lost, what steps will you take to find it?
12. How much do you anticipate spending yearly to provide the appropriate food, medical care, permits (if required in your area) and supplies?
13. What types of supplies and food do you think you will need for the animal you wish to adopt?
14. What type and size housing do you think this animal requires at its present size?____________ In 1 year? ______________In 5 years?__________________________-
15. How much do you think it will cost for you to acquire the necessary supplies and food? (NOTE that this is NOT the same as #12!)
16. Do you intend to breed this animal? __________ If so, what do you intend to do with the offspring?___________________ Are you willing to personally take back any offspring that the new owners cannot keep any longer?___________
17. How many adults in your household?______ Number of Children? ____How old are the children?
18. Do all family members favor getting this type of animal?
19. Which member(s) of your household will be primarily responsible for the feeding, cleaning, handling (if appropriate) and general care of this animal?
20. If you are interested in adopting a particular species or type of reptile or amphibian, please tell us what you already know or have learned about the needs and disposition of this type of animal (Please answer in general; I realize many applicants will have extensive knowledge)?
21. Many reptiles live longer than 15 years; some tortoises may live more than 100 years. Are you ready to take responsibility for the animal you adopt for its entire life? _______What provisions will you make to assure it is taken care of after you or the primary care-giver dies or is no longer able to care for it?
22. What books or other materials have you read about the animal you wish to adopt?
23. What books relating to this animal(s), or to reptile or amphibian care do you presently own?
24. Do you belong to a herpetology society If so, which one(s):
If you want to adopt an iguana: (if not, please skip these iguana-related questions).
25.Have you ever had one before? If so, what happened to it? (Be honest if it died - this is not necessarily a disqualifier given the poor information out there.)
26.Are you prepared to provide suitable housing for one? This means at least a dedicated room or room-sized enclosure.
27.If you have not done so, please read the Iguana Care, Feeding and Socialization article, and the Dealing with Breeding Aggression article, linked to the Iguana Care page located at the WWW site http://www.anapsid.org to get some idea of proper care, housing, and behavioral issues. If you do not have the ability to get online, please say so.
If you are adopting a prey-eating reptile (otherwise skip this question.)
28. If adopting a prey-eating animal (snakes, some lizards, etc.) are you prepared to locate a source of pre-killed food? _______ Do you have experience in using pre-killed food for reptiles? ______ Please explain briefly why pre-killed food is better than live food for prey-eating reptiles:
29. What other types of animals do you have?
30. What will you do about care for your reptile or amphibian when you have to travel on business or vacations?
31. Please put down any other pertinent information you think will help me get to know you better as a prospective adoptor.
32. Please list the names and contact information (phone/e-mail, etc.) of at LEAST 2 people who have direct knowledge of your ability to care for the animals requested. VaRR will make every effort to contact them prior to approving any applicant.
By signing below you are certifying that all the answers to the above questions are true to the best of your knowledge. Anything which is found to not be true may be cause for denying this application for adoption. Further, you certify that neither you nor any co-applicant, have ever been convicted of any crime relating to the abuse, cruelty, or neglect of another person or any animal. If you are under 18, a parent or legal guardian must sign as an indication of their consent and willingness to care for the animal(s) themselves if the need arises.
Signature:____________________________________ Date:______________
Parent signature:_______________________________ Date:_______________
PLEASE PRINT OUT A COPY OF THIS PRIOR TO E-MAILING TO ME. IF APPROVED, YOU WILL BE REQUIRED TO SEND A SIGNED COPY OF THIS, ALONG WITH AN ADOPTION CONTRACT AND THE ADOPTION/SHIPPING FEES, PRIOR TO SHIPMENT/PICKUP OF THE ADOPTED ANIMAL.
Revised 8-30-04
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