Adoption Application Form

VA Reptile Rescue, Inc.

Adoption Application

Please note that questions left unanswered, or partially answered, are grounds for denial of any applicant. I take these adoptions very seriously, and expect you to, as well. Remember - this is an APPLICATION, not a guarantee, and you WILL be judged by how you complete these responses. (Suggestion - use your spell checker, and don't use "IM" language).

PLEASE READ THE SAMPLE ADOPTION CONTRACT PRIOR TO SENDING THIS FORM!!

Please note: Your application may be forwarded to other reptile rescuers in event that they have an animal you could be qualified to adopt. If this is not acceptable to you, please indicate such in the field below where it asks for "additional info". Thank you! We will release your info only to verified rescues that we have an ongoing cooperative relationship with.

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Your home is a rented owned single family home apartment other:

Are you moving in the next 12 months?

Your age range

Have you ever been charged with any crime relating to the neglect or abuse of an animal or person? If so, please explain.

Have you ever adopted an animal before?

Have you adopted from VARR before?

How many adults are you in your home?

Does everyone in your household comfortable with the adoption of this animal?

Some reptiles live 15 years or longer. Some may live 50-100 years. Are you ready to keep this animal for its entire life?

If applying for a prey-eating reptile, will you use (use CTRL to choose all that apply)

By submitting this application you are certifying that all answers to the above questions are true and complete. Further, you certify that you have never been convicted of any crime relating to the neglect or abuse of another person or animal. You understand that false answers will cause your application to be denied, and that other reptile rescues may be notified of your attempt to adopt.

Address

How many children are in your home?

If you are moving, please describe your plans for your animals at that time.

If you rent, please give the contact info for your landlord in order to verify that you are allowed to keep reptiles.

Your occupation

If you have adopted an animal before, describe their current condition.

If you were forced to give up this animal, what would you do?

Have you ever relinquished an animal to a shelter, SPCA, rescue or other person?

If the answer to the above was yes, please explain the situation.

Please list the types of reptiles or amphibians you have significant experience caring for. (Meaning, daily for more than a few weeks.)

If you no longer have those animals you cared for, explain where they are now.

Please give the name and contact info for your reptile veterinarian. HINT: You need one BEFORE you apply. Use Google!

If your reptile gets lost, what steps will you take to find it?

How much do you think it will cost to care for this animal each year? Include food, heating, vet, and permits.

List the supplies you will use for the animal you wish to adopt.

What size and type of housing will this animal need at its present size?

What size housing will this animal need in a year?

What size and type of housing will it need in 5 years?

Do you intend to breed this animal?

If so, what will you do with the offspring?

How old are the children, if any?

If not, please explain

Who will be the primary caregiver for this animal?

Please tell me, in general, what you know about caring for this species. I know you may have extensive knowledge. Be general, but thorough.

What provisions will you make to assure this animal is cared for if you or the primary caregiver passes away or is unable to care for it?

What will you do during vacations to make sure your reptile is cared for?

What books, websites, or materials have you read about this species?

If you own any books about this species, list them here:

List any herp societies or online groups about reptiles you participate in on a regular basis:

If you are applying for an iguana, tell me about the housing you have for it:

If you are applying for an iguana: have you had one before? If so, tell me the diet you fed it, and where it is now.

What other types of animals are in your home?

List 3 people and their contact info (e-mail or phone) that can be contacted with regards to your ability to care for this animal. Leaving this blank may cause your app to be rejected.

Tell me anything else about yourself or your situation that you feel I should know.

Name (first & last)

City

State and zip code

Main phone

Work phone

Which ONE species are you applying for? ONE SPECIES PER APP

Your e-mail address - make SURE it’s right!!

If you experience problems with the form, please use the older version of this questionnaire and email your response to this form 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.)