Guinea pig Adoption Application Form

Name of the pig or pigs you are interested in adopting:
Applicant Information:
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number:*

Area CodePhone Number
Best time to call:*
Email:*
example@example.com
Referred by:
Your occupation:*
Partner's occupation: *
Do you (or your partner) have a medical condition that could limit your ability to care for a pet pig?*

YesNo
If yes, please provide more information:
Are you a member of any of the pig-related groups available on Facebook?*

YesNo
Would you be willing to consider adopting a minimum of two pigs if you are not adopting a friend for a current pig?*

YesNoMaybe
If no , please explain? Understand that Guinea pigs are companion animals
Household Information:

Please provide a list of everyone with whom you share your home. This list should include yourself,spouse, children, roommates, etc.*

	Name	Age	Relationship to you
Person 1
Person 2
Person 3
Person 4
Person 5

Which members of your household will be primarily responsible for caring for the pig?*
Is every member of the household equally excited about the idea of adding a pet pig to your family?*

YesNo

Guinea Pig Care:
What type and size is your existing cage?*
If you are unsure and new to the Guinea pig life and need help choosing one, What type of cage will be needed?

Large open top cageSomething with a lidNot sureI don’t have the space for anything near 2ft x4ft
Please upload a picture of your cage set up or a screenshot of a purchased cage if it’s not there yet.
What do you intend to feed your pig(s)? Please describe the diet including the type and quantity of feed you plan to use.*
Who will care for your pig in the event that you are away for several days/nights?*
What if that person is busy?*
If, for some unforeseen reason (sudden loss of employment or adding a child to your family, for example) your circumstances change what would you do with your pig(s)?*
This is a fill in the blanks field. Please add appropriate blank fields and text.
Are you willing to adopt an un-socialized pig? If so, do you understand that this will likely mean putting in a lot of extra time and effort to earn his or her trust and to get him or her comfortable being around you/your family? This may mean that you are unable to pet him or her for an unforeseeable period of time, are you prepared for that?*

YesNoMaybe

Veterinarian Information:
Primary Veterinarian's Name:*
Primary Veterinarian's Address:*
Primary Veterinarian's Phone Number:*
Does this veterinarian treat Guinea pigs?*

YesNo

References:
Additional Comments:
Please take a moment to tell us a little more about yourself. What made you consider a pet Guinea pig? How long have you been considering this addition to your family? How much have you researched piggy parenthood? Have you discussed this decision with friends and family? Are they supportive of the idea? If you live with a partner, are you both equally excited about adding a pet guinea pig or pigs? Is there anything else we should know to help match you with the perfect guinea pig for you and your household? These questions are just to get you started. Please feel free to make this answer as long or as short as you'd like it to be. We want to get to know you!*

Please read and acknowledge the following:

As an adoptive parent you will be required to sign below in the chance you will become guinea pig parents. This is only an adoption application to help us get to know you and your home. We will contact you about your application very soon.
If for any reason you will need to rehome the Guinea pig(s) they will need to come back to the rescue unless we discuss otherwise. A refund will not be given. If you disagree please state why below…
"I declare that all the information contained above is true and correct, that I am over 18 years of age, and that I am a decision‐maker in my household. I am looking to adopt a pet, and I will accept full responsibility for his/her care."
“I understand that pigs require adjustment to a new home/environment. I understand the pig may experience stress that could cause aggressive, standoffish behaviors, biting, running, scratching.”
“I hereby certify that the information I have provided above is true, correct, and complete to the best of my knowledge, and you may rely on this information to evaluate my application.”
Applicatant's Signature(s):
Name

First NameLast Name
Date*

MonthDayYear
Date
Do you agree to all statements above?

I agreeI disagree
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Should be Empty:

Only fill out below if you currently have a Guinea pig

Please upload a picture of your cage set up or a screenshot of a purchased cage if it’s not there yet.