First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Name of Guinea Pig(s) Applying for*

How did you hear about Creature Concerns

Place of Employment:*

Please list any preferences (type, sex, color, personality)*

Why do you want to adopt this animal?*

What do you think are the most important responsibilities in owning a little critter?*

If a behavioral problem arises, what steps will you take to work on it?*

Does any member of the family have any allergies to animals? *

If yes, please explain.

Describe the kinds of personal situations where you might have to return your adopted critter (job loss, children, move, marital change):*

For whom are you adopting the little critter? *
Choose one: Self Gift Other Family Member

How many people live in your home?*

Any Children?*
Choose one: Yes No

If so, what ages?*

Who will be responsible for feeding the critter and cleaning the cage?*

Who will take care of the critter in the absence of the primary caregiver?*

Veterinarian's Name and Phone Number*

Have you considered the extra expenses that will come with having a little critter including vet care, food, treats, supplies and equipment? Please explain:*

Do you own or rent your home*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal*
Choose one: Yes No

If you rent, please enter your landlord's name and phone number*

Where in your home do you plan to keep your critter?*

How often do you travel?*

What will you do with the critter when you travel?*

If you move, what will you do with the critter?*

What kinds of animals have you owned?*

Describe all pets you previously owned in the past 5 yrs, answering the following about each: Name, type, spayed or neutered?, how long did the animal live, cause of death.*

Please list the animals you currently own, answering the following questions about each: Name, type of animal, age, sex, Is the Pet Spayed or Neutered?, Primarily indoor or outdoor?, how long have you had the animal?*

Are you aware of the adoption fee ($20 non-refundable donation)?*

Are you familiar with your local animal control laws?*

Have ALL ADULT family members met and agreed upon the critter?*

We will respond to your application via email as soon as possible. Please keep an eye on your Inbox for our reply!