Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Date of Birth
List other members of household and age
Animal Name Interested in Adopting
Do you have experience with this species? If yes how much?
Do you own or rent
Are you allowed to own a reptile at your current residence
Have you owned reptiles in the past? What kind? Where are they now?
Have you rehomed an animal in the past? If yes, why?
What made you decide to adopt a reptile
What kind of habitat do you plan on keeping your new pet in? Do you already have this enclosure?
What kind of substrate/flooring will you use
What heat elements will you use?
What type of lighting will you use?
What will you feed this reptile?
Where will you purchase these supplies
Who is your closest exotic/reptile vet? Have you used them before?
Who is your current vet? Can we contact them for a reference?
Do you have other pets (click all that apply)
Big Dog
Small Dog
Cat
Snake
Bearded Dragon
Gecko
Large Monitor
Tortoise
Turtle
Fish
Furry pocket pet
Rabbit
Other
What would you do if your reptile needed life saving expenses?
How much time can you commit to your new reptile?
What will you do if you can no longer care for your pet?
We require a virtual interview with all potential adopters. This includes pictures of set up and or video chat. Do you consent to this?
A majority of reptiles can live up to 20 years old. Are you prepared to provide for this reptile for 20 years or more?
True or False? A reptile needs another reptile friend to be happy.
True
False
True or False? Reptiles don't have teeth
True
False
True or False? A reptile can be released into the "wild" if they are no longer wanted
True
False
True or False? A reptile will only grow as large as its enclosure allows?
True
False
How often should a UVB bulb be changed?
The best way to prevent salmonella is?
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