Adoption Application: Non-Exotics

Adoption Application: Exotics

Please fill out this adoption application if you are interested in adopting an exotic animal in our care.
Your name*
First & Last Name
Your Address (and where the animal will live)*

Street Address

Street Address Line 2

CityState

Zip Code
Your Email*
Your Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Have you adopted from us since February 2023? *
Names and ages of all permanent residents of your home (adults/children)*
Please list all pets currently living in your home, regardless of species. If you have no other pets, please state "no other pets". *
Vet reference (please call your vet and give notice that we may call. If you have not been to a vet before, let us know so we can help you identify one.)*
Vet name, address & phone number
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
Which kind of animal are you applying to adopt?*

SnakeIguanaBearded DragonTurtleTortoiseGeckoChameleonTeguMonitorFrogRodent (degu, mouse, rat, hamster, guinea pig)Sugar gliderPoultry (chicken, duck, guineafowl, turkey)Rabbit
Who are you applying to adopt? *
Have you ever owned or do you currently have this species?*

YesNo
If you answered yes to the previous question, tell us about your experience with the animal and why they are no longer in your care, if applicable.
When will you be ready to adopt this animal?*

TodayThis weekendWithin a weekWithin a monthNo timeline, just researching
Is anyone in your home allergic to or fearful of the animal you're planning to adopt?*

YesNoYes but we have discussed it and they have explicitly agreed to this adoption.
You live in a:*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
If you rent, you must provide a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have this type of animal and showing any limitations.
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
Describe the kind of enclosure planned for the animal and where it will be located. Be as specific as possible and include the size of the current enclosure, as well as how you will handle enlarging the enclosure as the animal grows. We may follow up for photos by email. *
Please be aware that pets given as gifts are often returned to shelters or released. With this in mind, make sure that any animal you are adopting will be a permanent resident. Please, NEVER release an animal into the wild. We will take animals back if they're the wrong fit for your family!
If applicable, will your children be taught how to play gently and kindly with this animal?*

YesNoNo children
Vet bills can be expensive. What will you do if a veterinary emergency occurs? *
Additional reference (if desired, required if no veterinary contact established)
Please check this box if you would like to schedule an in-home trial period to foster-to-adopt before finalizing the adoption.

I would like a trial foster-to-adopt period before committing. I understand I can return the animal at any time but that most animals take at least 1-2 weeks to get comfortable in a new environment.
Do you have any additional comments, questions or concerns?*
By checking this box, you understand that you will be required to submit photo of the proposed enclosure/housing for this animal and a home-visit may occur.

I understand the above.
By checking the box below, you understand the terms of this form and adoptee. You hereby agree that you will not use this animal in any sort of fighting, breeding, or cruelty. You will love and care for this animal for the rest of its life, and you are ready to commit to that. You also agree, that if for any circumstances you can no longer provide love and care for this animal, you will contact an admin of the group and explain your situation and will not take the animal to a shelter or other rescue.

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
Adopter's Signature*
Signature date*
Please feel free to contact us at lumpylizardrescue@gmail.com if you have any additional questions. Thank you!
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Adoption Application: Exotics