Guinea Pig Adoption Application

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Home / Guinea Pig Adoption Application

How did you hear about our organization?*
List the names of the specific animals, available from adoption from our website, you may be interested in:*
Name (adopter 1)*
Date of Birth*
Phone*
Email*
Adopter #1 Employer*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Typical work hours*
Employer Phone*
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)*
Street Address Address Line 2 City State ZIP Code
Do you*
- Rent
- Own
Length of time living at your address*
When were you hoping to adopt?*
- 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*
- Good with dogs
- 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*
Why are you interested in adopting a pet?*
- 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?*
Is this your first companion animal?*
- 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?*
- Yes
- No
Have you ever adopted from any other rescue before?*
- 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?*
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?*
- 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.*
What veterinarian do you plan to use in the future? Please list name, address and phone number.*
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?*
How often will your new pet visit the veterinarian?*
Behavior and Home Life
Who will be primarily responsible for feeding/caring for your new pet?*
What brand of food will you feed your guinea pig? Be very specific.*
What do you believe the average life expectancy is for a guinea pig?*
Under what circumstances would your guinea pig go outside?*
Where would your pet be if you went away for the weekend?*
Where will your pet be kept at night?*
How long will your pet be left alone?*
Have you ever turned an animal into a shelter? If yes, what were the circumstanced?*
What would you do if your pet chewed and ruined your belongings?*
What would you do if your pet urinates or defecates where it is not acceptable?*
What would you do if your pet kept you awake at night?*
What would you do if a current or future household member developed allergies to your companion animal?*
If you have to move, describe what you would do with your animal*
When home alone, I plan to keep my guinea pig in an:*
- Indoor exercise 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*
- 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:*
Non-Family Reference #2: Please provide name, email address and phone number of a reference not related to you:*
Family Reference #1: Please provide name, email address and phone number of a reference related to you.*
Family Reference #2: Please provide name, email address and phone number of a reference related to you.*
Signature and Acknowledgement
I certify that the information I have provided is accurate and honest.*
I agree
Adopter #1*
First Last
Date*
MM slash DD slash YYYY
Adopter #2 (if applicable)
First Last
Date
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

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Guinea Pig Adoption Application

Please tell us about your past and present companion animals

Veterinarians

Behavior and Home Life

Reference Section

Signature and Acknowledgement