Herp Habitat Adoption Inquiry Form
Enter N/A if not applicable. Don't worry about textbook "correct" answers, we're more interested in learning about you and why you're interested in adopting!
Your Info
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Name, age, and relation of everyone in the household
*
Who will the primary caretaker be?
*
If renting, do you have your landlord’s permission to have this animal?
*
Adoption Info
Which animal are you looking to adopt?
*
What made you choose this specific animal to adopt?
Is this your first reptile?
Yes
No
Please list the name, species, and age of all reptiles or amphibians you own now, or have had in the past
Do you currently have the animal's enclosure?
No, not yet
Yes, but only the tank
Yes, I have a partially set up enclosure
Yes, I have a fully set up enclosure
What size enclosure do you have, or plan to get?
Dimensions of the length x width x height preferred over gallons
What substrate will they be kept on?
Please briefly describe the heating, lighting, and any UVB (If using UVB, what kind of bulb?)
Please briefly describe the enclosure layout, enrichment, and hides
What will you be feeding them?
Will they get any calcium, vitamins, or other supplements?
Please provide photos of the enclosure/husbandry.
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(OPTIONAL) Upload photos of your existing reptile setups so we can review your husbandry/setups.
Browse Files
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Choose a file
Cancel
of
Health and long term planning
Will you provide regular and as-needed veterinary care
Yes
No
Do you have a vet clinic that sees exotics/reptiles?
Yes
No
Name of vet clinic and DVM
Do you have a petsitter who is able to care for the needs of this animal?
Yes
No
Reptiles have long lifespans and specialized needs. In case you find yourself unable to care for them in the future, what is your backup plan and who would take over their care?
How would you like us to reach out for the next step?
Email
Text
Do you have any additional questions or concerns?
I certify that the information provided in this form is true and accurate to the best of my knowledge.
*
Agree
Today's Date
*
-
Month
-
Day
Year
Date
Signature
*
Continue
Continue
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