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Donate
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Adoption Applications
Dog and Cat Adoption Application
Guinea Pig Adoption Application
Contact
Guinea Pig Adoption Application
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Guinea Pig Adoption Application
Guinea Pig Adoption Application
How did you hear about our organization?
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List the names of the specific animals, available from adoption from our website, you may be interested in:
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Name (adopter 1)
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Date of Birth
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Phone
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Email
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Adopter #1 Employer
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Typical work hours
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Employer Phone
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Name (adopter 2) if applicable
If you do not have a second adopter, please say "n/a" for the second adopter questions. Thank you.
Date of Birth
Email
Employer Name (adopter 2)
Title
Address
Phone
State
Zip
Typical work hours
Home Address of Applicant(s)
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Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Do you
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Rent
Own
Length of time living at your address
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When were you hoping to adopt?
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Immediately
In the next few weeks
In the next few days
In the next few months
List the names of the specific animals (available for adoption from our website) that you may be interested in:
Characteristics important to you
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Good with adogs
Good with rabbits
Good with another guinea pig
Mellow
Good with children
Good with cats
Hyperallergenic
Housebroken
Energetic
Other characteristics important to you:
Example: Size of animal, etc.
Please describe the number of people in the household, ages and relationship to adopter
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Why are you interested in adopting a pet?
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Gift
Companion for me
For a child
Companion for another pet
Fill void left by previous pet
Other reason for adopting a pet:
How long have you been considering adopting a companion animal?
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Is this your first companion animal?
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Yes
No
Please tell us about your past and present companion animals
Pet #1: Type of Animal
Pet #1: Name
Pet #1: Age of animal
Pet #1: Male or Female?
Male
Female
Pet #1: Breed
Pet #1: Weight
Pet #1: please check all that apply
Neutered or spayed
Current on vaccinations
Declawed
Not applicable
Check all that apply
Pet #1: If deceased, please indicate age of death and what pet died of
Pet #2: Type of Animal
Pet #2: Name
Pet #2: Age of animal
Pet #2 Male or Female?
Male
Female
Not applicable
Pet #2: Breed
Pet #2: Weight
Pet #2: please check all that apply
Neutered or spayed
Current on vaccinations
Declawed
Not applicable
Check all that apply
Pet #2: If deceased, please indicate age of death and what pet died of
Pet #3: Type of Animal
Pet #3: Name
Pet #3: Age of animal
Pet #3: Breed
Pet #3 Male or Female?
Male
Female
Not applicable
Pet #3: Breed
Pet #3: Weight
Pet #3: please check all that apply
Neutered or spayed
Current on vaccinations
Declawed
Not applicable
Check all that apply
Pet #3: If deceased, please indicate age of death and what pet died of
Have you applied to this rescue before?
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Yes
No
Have you ever adopted from any other rescue before?
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Yes
No
If yes, please list name of shelter, shelter address, and the date. This may speed up the processing of your application.
How do you plan to introduce your companion animal to other animals and/or people in the household?
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Are you prepared to spend several weeks or, perhaps months, waiting for your new companion animal to adjust to their new environment? And for you to adjust to your new animal?
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Absolutely!
I am not sure
Veterinarians
Who was/is your veterinarian for your current or past pet(s)? Please list name, address and phone number.
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What veterinarian do you plan to use in the future? Please list name, address and phone number.
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When was the last time you visited your vet, with what pet, and for what?
How much do you anticipate spending on your new companion animal's veterinary care per year?
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How often will your new pet visit the veterinarian?
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Behavior and Home Life
Who will be primarily responsible for feeding/caring for your new pet?
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What brand of food will you feed your guinea pig? Be very specific.
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What do you believe the average life expectancy is for a guinea pig?
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Under what circumstances would your guinea pig go outside?
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Where would your pet be if you went away for the weekend?
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Where will your pet be kept at night?
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How long will your pet be left alone?
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Have you ever turned an animal into a shelter? If yes, what were the circumstanced?
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How would you handle the destruction or scratching on furniture?
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What would you do if your pet chewed and ruined your belongings?
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What would you do if your pet urinates or defecates where it is not acceptable?
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What would you do if your pet kept you awake at night?
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What would you do if a current or future household member developed allergies to your companion animal?
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If you have to move, describe what you would do with your animal
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When home alone, I plan to keep my guinea pig in an:
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Indoor pen
Covered cage
Outdoor hutch
Loose indoors
If you have other plans for when your pet is home alone, please describe:
How will exercise your guinea pig: please check all that apply
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Leash walks
Will be free to run in fenced yard
Will run around my house
Will run in an exercise play pen
Regarding exercising your guinea pig: If you have another method, please describe here:
Reference Section
Non-Family Reference #1: Please provide name, email address and phone number of a reference not related to you:
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Non-Family Reference #2: Please provide name, email address and phone number of a reference not related to you:
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Family Reference #1: Please provide name, email address and phone number of a reference related to you.
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Family Reference #2: Please provide name, email address and phone number of a reference related to you.
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Signature and Acknowledgement
I certify that the information I have provided is accurate and honest.
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I agree
Adopter #1
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First
Last
Date
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Date Format: MM slash DD slash YYYY
Adopter #2 (if applicable)
First
Last
Date
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.