Herp Habitat Adoption Application

Herp Habitat Adoption Form
Please read through all 'Adoption Requirements & Policies' prior to submitting adoption application. (Can be found on https://www.herphabitat.org/adopt/)

Applications that do not meet our requirements will be denied.
Your Info
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Name, age, and relation of everyone in the household*
Please list the primary caretaker (if you list multiple people please describe their roles and responsibilities)*
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?

YesNo
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 yetYes, but only the tankYes, I have a partially set up enclosureYes, 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 describe heating, lighting, and any UVB (If using UVB, what kind of bulb?)
Please describe the enclosure layout, enrichment, and hides
Please describe the temperature range
What humidity % will they have in the enclosure and how will you maintain it?
What will you be feeding them? And how frequently?
What calcium, vitamins, or other supplements? (Please list specific brands, types of supplement, and with or without D3)
Please provide photos of the enclosure/husbandry.

Cancelof
(OPTIONAL) Upload photos of your existing reptile setups so we can review your husbandry/setups.

Cancelof
Health and long term planning
Please list any dangers or common health concerns that you are aware of
Will you provide regular and as-needed veterinary care

YesNo
Do you have a vet clinic that sees exotics/reptiles?

YesNo
Name of vet clinic and DVM
Do you have a petsitter who is able to care for the needs of this animal?

YesNo
What is the lifespan of the species you are looking to adopt?
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?

EmailText
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*

MonthDayYear
Date
Signature*

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By submitting this form, you confirm all information is correct and that you understand and agree to our 'Adoption Requirements & Policies'.

Applications that do not meet our 'Adoption Requirements & Policies' (found on https://www.herphabitat.org/adopt/) will be denied. Denied applications are generally not reconsidered.
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Herp Habitat Adoption Form

Your Info

Adoption Info

Health and long term planning