Rat Adoption Application Form
Pacific Gems Rattery
Applicant Details
Name
*
First Name
Last Name
Age
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
-
Area Code
Phone Number
E-mail
*
example@example.com
I / We live in a
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Single Family Home
Duplex / Twin
Condo / Townhome
Trailer
Apartment
Other
Are there any children in the household and if so, what ages?
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Is the intended owner 18 years or older?
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Yes
No
If not, do they have permission from their parent or guardian?
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Pet's Details
What rats do you currently own? Include age and gender.
*
How many rats have you owned in the past, and for how long?
*
Number of hours (average) your rat will spend alone
*
What cage are you going to use? Link or description/picture with general measurement size.
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Cage Picture
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What bedding and food do you use or plan to use? If you need recommendations, please include that.
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Do you plan on breeding your rats?
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Yes
No
Unsure
What rats do you want?
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Female
Male
No Preference
Both
How Many rats do you want?
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What colors, patterns, or types of rats are you interested in?
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Are there any types of rats you DON'T want? (Note: The more open you are on color/pattern, the sooner you will have your new baby. We breed for friendly, health rats first so rest assured your rat will be a great companion!)
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Agouti
Hairless
Dwarf
Black
Rex
Other
How/where did you find us?
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I understand that, as with any pet, there are certain risks, such as salmonella and hantavirus, that come with adopting a rat or mouse. I confirm that I have done research into possible health risks associated with pet rats, will observe proper sanitation after handling my pets, and that Pacific Gems Rattery is not held liable for any of these.
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Agree.
Disagree.
Our rats are covered for life for genetic health defects and temperament issues. They are also covered for 2 days after purchase for sickness as long as proper quarantine was observed.
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Agree.
Disagree.
I will not breed my rats/mice.
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Agree.
Disagree.
If I have any problems with my rats (health, temperament, or any other issues), I will contact Pacific Gems Rattery about it because they will give non-judgmental, friendly advice.
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Agree.
Disagree.
If I cannot keep my rats at any point in time, I will contact Pacific Gems Rattery so they might take the animal back before I rehome it myself.
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Agree.
Disagree.
Under no circumstances are any rats purchased from Pacific Gems Rattery to be given up for rescue or resold. If you are not able to keep the rats they are to be returned to Pacific Gems Rattery no questions asked.
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Agree.
Disagree.
If my rats die, develop tumors, or any genetic issue, I will let Pacific Gems Rattery know. (This is to make sure we are aware of any issues in a line so we can breed only the best rats going forward.)
*
Agree.
Disagree.
Do you have a regular veterinarian?
*
Yes
No
Veterinarian’s name
*
Clinic Name
*
Clinic's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Clinic's Telephone
*
-
Area Code
Phone Number
If you have not yet messaged us on Facebook or email, please do so now.
*
Will do!
Already did!
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