Guinea Pig Adoption Application - Turtle Hill Farm Animal Sanctuary

advertisement
Turtle Hill Farm of VT Animal Sanctuary, Inc.
Adoption Application
Please return the completed application to: 631 Town Hill Rd., Reading, VT 05062 or email to:
lucywgoodrum@earthlink.net
*Adopters must sign an adoption contract. Because of the contractual agreement, THF must only adopt to individuals
over age 18. If you are under 18, and interested in one of our guinea pigs, you must have a parent or guardian adopt
them with the guardian being the primary caregiver of the pet.
Potential Adopter Information
Name
Age
_________________________
Street
_________________________
PO Box/ Apt
__________________________
City, St, Zip
______________________________
Occupation ________________________________
___________________________
Best time to contact you and at which number?
_______________________________________________
Spouse/Significant Other/Roommate ____________________
Phone _____________
Occupation _______________________________________
_________________________
Home Phone
Work Phone
Cell Phone
E-mail
Employer
Age ______ Work
Employer
Type of Housing:
□ Rent Home □ Rent Apartment □ Own Home □ Other
________________
If you rent, does your lease allow for rodents and other pets? _____ Please include a
copy of the portion of the lease that allows this or have the land lord send a letter
confirming that you can add a guinea pig to your family.
Are you planning on moving soon? ____
Please list all others in the household along with their ages
Name
Age
Does anyone have allergies to animals? ________ If yes, what kind?
______________________________
Current veterinarian ______________________ Clinic ___________________ Phone
______________
Does this veterinarian have experience with guinea pigs? ________
If no, do you plan on taking the guinea pig(s) to another veterinarian? ______
If yes, whom do you plan on using? ________________________
Phone
______________
What is the reason for adopting this/these guinea pig(s)?
□ Companion for other pet
□ For children
□ Gift □ Companionship □ Breeding □ Classroom use □ Other
_____________________
Do the other adults in your household know you are planning to adopt and are OK with
it?
Does any one in the household smoke inside the home? ______
Do you have a preference for breed, age or sex?
________________________________________________
Do you want a single guinea pig or a non-mating pair?
Please note that if you do not already have a guinea pig in your home, we require that you
adopt a pair.
Are you interested in any particular guinea pig(s)? _____
_________________________________
Whom?
Are you interested in taking a special needs (due to health or temperament problems)
guinea pig(s)? _____
If so, which one(s)?
Pet History/Experience/Plans
Please list all current pets in your household
Name
Species
Sex
Altered
and/or
Y/N?
Breed
Age
How long Where kept
owned
Please list all pets owned in the past ten years. Include: name, species/breed, sex, when
and where you got them, if altered, age of pet when you stopped owning him/her and how
you stopped owning him/her.
Have any of your pets had offspring? _____ If yes, what did you do with the offspring?
How will you house your guinea pig?
If in a cage, have you purchased a cage yet? _____ If yes, please describe it. Exact
dimensions in inches and composition (metal, plastic, etc.) Please note that the minimum
cage size for two guinea pigs is 30 inches by 50 inches (see www.guineapigcages.com).
Where will your guinea pig be kept? □ Outside □ In garage □ Covered outside area
□ In house If in house, which room? ______________________
Who will be primarily responsible for the guinea pig(s) care?
________________________________
Who will do each of the following: feed, clean, take to vet, play with or hold? How much
adult supervision will there be?
How much time will be allotted for care and how much for attention?
Are you familiar with guinea pigs’ needs for: Food/Water ______ Socialization/Exercise
_____ Vet Care ____
If you already have a guinea pig please describe their current diet, including frequency of
feedings? What type of bedding do you currently use?
What kind of hiding place(s) do they have?
On what type of bedding do you plan to keep your guinea pig(s)? □ Cedar □ Pine □
Kiln dried pine
□ Aspen □ Newspaper □ Shredded newspaper □ Pelleted litter (Ox-Bow Eco-Straw,
Pets Preference, etc.)
□ Recycled paper based litter (Carefresh, Pets Preference, etc.) □ Corn cob □ Other
_______________
What do you plan on feeding your guinea pig(s)?
How much money are you willing to budget toward the care of your guinea pig(s) per
week? ________
Why?
How often do you plan on taking your guinea pig(s) to the vet?
How much are you willing to spend in a medical emergency for a guinea pig?
__________
Explain why you want a guinea pig as a companion?
Do you plan on showing the guinea pig(s)? ________
Would you like to breed guinea pigs now or in the future? □ Yes, now □ Yes, later □
No
□ It would be nice to have babies in the future
Describe how the guinea pig(s) would be tended to or how it would travel when you go
away for vacation or business trips.
Please describe the level of research you have done on guinea pigs (check all that apply).
□ None yet, just getting started □ What I was told at the pet store □ What I was
told by the breeder
□ What my friends have told me □ Books on guinea pig care □ Preliminary
internet research
□ Moderate internet research □ Extensive internet research □ Other
_______________________
How long have you been thinking about or searching for guinea pig(s)?
How did you hear about Turtle Hill Farm of VT Animal Sanctuary?
If the guinea pig is “for the children,” do(es) the child(ren) have access to the Internet for
research and posting on forums?
________________________________________________________________________
______
References – Please list one non-related personal reference.
Please list one non-relative personal reference.
Name ____________________________________
Address ___________________________________
City, St, Zip ________________________________
Phone ____________________________________
Best time to contact at above number ____________
E-mail ____________________________________
Do you have any additional comments?
Thank you for taking to the time to fill out this application. The extensive detail of this
application is to ensure permanent, caring and responsible homes are found.
Signature ______________________________________
Date __________________
Download