Adoptive Family Form

Your informations
Name*

First nameLast name
Adress*

Street adress

Appartment

CityProvince

Postal code
Phone number *
Please enter a valid phone number.
Email*
example@example.com
Are you over 18?*

YesNo
Do you have a car?*

YesNo
Your home
You are a:*

OwnerRenter
If you are a renter, are you allowed to have pets?
Do you have air conditioning?*

YesNo
Is there any smokers in the house?*

Yes, outsideYes, InsideNo
Family member
How many adults including you?*
How old?*
How many children?*
How old?
Who's gonna be responsable of the animal?*
What is the date of birth of that person?*
Does anyone in the home have allergies? If so, which?*
Animal in the home
Number of cats*
Number of dogs*
If you have dogs, which race? And are they used to the type of animal you want to adopt.
Number of other animals*
If so, what type? Are they spayed or neutered?
Your profile as an adopter
Have you ever re homed any animals? If so, why?*
What is the name of the animal you want to adopt?*
Do you want to do a trial as a foster before adopting? (Max 3 months)*

YesNo
In a case where the animal is too young to be spayed or neutered, you will be foster until the operation is done.
Have you ever had the type of animal you want to adopt?*

YesNo
If so, please tell us about your experience. What happened and are they still alive?
Is there any particular reason why you chose that animal?*
Describe the living conditions that you will offer to the animal.
Alimentation *
Please precise the amount and the brand you will be using.
Habitat *
Including the accessories and the litter.
Exercice and mental stimulation *
Time outside the habitat, toys
Basic care*
Nail trims, brushing
Socialisation *
How do you plan socializing with the animal
Cleaning*
How often will you clean the habitat
Security*
Wires, plant, stairs
Certain species require quite some space as their minimum requirement.

Rabbit: 4 feet wide x 4 feel long x 2-4 feet high (Dog exercise pen)

Rat, Chinchilla, Degu: 2 feet wide x 3 feet long x 4 feet high (zeno 2-3, Critter nation)

Guinea pig: 2 feet wide x 4 feet long x1 feet high (Cavy cage)

Hedgehog: 2 feet wide x 3 feet long x 1 feet high (Cavy cage)

Hamster, Mouse: 1 feet wide x 5 feet long x 1 feet high (Bin, Aquarium, Detolf)
Do you think you have the space to provide the minimum requirement for that animal?*

YesNo
How many hours a day the animal will be left alone?*
Do you have a veterinarian specialised in exotics?*

YesNo
If so, please join the information for that veterinarian:
What are the circonstances where you would abandon an animal?*
If your family is going on a vacation, what will you do with the animal?*
We also do a house visit before the adoption, is that ok with you?*

YesNo
Adoption Fees
Rabbit: 225$

Rabbit couple: 325$

Rat: 125$

Rat couple: 200$

Chinchilla: 200$

Hedgehog: 140$

Guinea pig: 140$

Guinea pig couple: 230$

The adoption fee includes the spay/neuter (Rabbits both male and female and other female species), the medical appointment prior to the spay/neuter and the deworming process.

Since most our animals either comes from the street or heavy medical cases, the adoption fee only covers a little part of the spay/neuter.

Thank you for understanding!
I understand that there's adoption fees and that the adoption will only be completed once the contract is signed and the fee paid.*

Yes
Is there anything else you would like to tell us about you?
Thank you for considering us for your new family member!
Should be Empty:

Your informations

Your home

Family member

Animal in the home

Your profile as an adopter

Adoption Fees