Adoption Application

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Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
Are you over the age of 18?* This field is required.
YESNO
5
AddressThis is only for our records so we know who adopted our rats. We are working on eventually sending out birthday cards for the rats we adopt out.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
What animal are you looking to adopt?
Rat(s)
Mouse (Mice)
Guinea Pig(s)
Other
7
If other, what are you looking at adopting?If you are interested in one of our retired breeders, please put that here.
8
Who is the animal(s) for and who is the main caretaker of the animal(s)?* This field is required.Please answer both questions.
9
Are there any children in the house? If so, how many and how old are they?
10
Are there any other pets in the house (not rats/mice/guinea pigs)? If yes, what breed and how old are the other pets?* This field is required.
11
Do you own or rent your accommodation?* This field is required.
Own
Rent
Other
12
If you picked other, please let us know your living situation.* This field is required.If you own or rent, please put N/A in this field.
13
If you rent, do you have permission from your landlord to have pet rats/mice/guinea pigs?* This field is required.
Yes
No
Unknown at this time
I don't rent.
14
Have you ever owned a rat/mouse/guinea pig before? Have you ever owned any other type of small animal before? If yes, please indicate what type.* This field is required.Please answer questions fully.
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15
Do you currently own any rat(s), a mouse/mice, or a guinea pig? If so, please answer the next few questions.* This field is required.
YESNO
16
What gender are your current rat(s)/mouse(mice)/guinea pig(s)?* This field is required.
Female(s)
Male(s)
Both male(s) and female(s)
N/A
17
Are any of your current rat(s), mouse(mice) or guinea pig(s) spayed or neutered. Please answer with how many are and aren't along with genders and ages.* This field is required.If you don't own any, please write N/A.
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18
Do you cage any of your rats, mice or guinea pigs with an unspayed/unneutered rat/mouse/guinea pigs of the opposite gender?* This field is required.
Yes
No
N/A
19
Do you plan on caging your newest adoption with any current rat(s)/mouse(mice)/guinea pigs at any point in time?* This field is required.
Yes
No
Maybe
Unknown
N/A
20
If so, please indicate which one(s).
21
Have you ever surrendered an animal before?* This field is required.
YESNO
22
If so, under what circumstances?* This field is required.If not, please write N/A.
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23
How many rat(s), mouse/mice, guinea pig(s) are you looking for? Please indicate what type of animal you want.* This field is required.
24
What gender of rat(s), Mouse(mice), guinea pig(s) are you wanting?* This field is required.
Male
Female
Mixed
25
Do you have any intent to breed the animal(s) you adopt from us?* This field is required.
YESNO
26
Do you breed any animals at all or are interested in breeding any animals?* This field is required.
YESNO
27
If you answered yes to interest in breeding, please specify what animals you are thinking of or you breed. Please include all details (for example if you breed pugs, please list pugs and not dogs).* This field is required.If you answered no, please put N/A in the box below.
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Is there a specific color you are looking for?* This field is required.
YESNO
29
If so, please indicate what color you are looking for.
30
What cage do you have for your new companion? If you do not already have a cage, what type of cage do you plan on getting?* This field is required.
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31
What type of bedding and food do you plan on using?* This field is required.
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32
Do you plan on giving fresh fruits/vegetables/meats as part of his/her regular diet?* This field is required.
Yes
No
Unknown at this time
33
Do you plan on giving vitamins and/or probiotics as part of his/her regular diet? If so, please indicate what type(s).We do not require vitamins/probiotics. We are doing a study to see if those given probiotics are living a longer/healthier life and have been placing some in homes that have been on them where the adopter is saying yes they are going to continue them. If you are interested in helping us, please let us know and we will try to make sure that you adopt from a litter that has been given probiotics.
34
Do you have a primary care veterinarian that sees small animals?* This field is required.
YESNO
35
Do you have an emergency veterinarian that sees small animals?* This field is required.
YESNO
36
Please note that when small animals show sickness, it is in severe cases and they need to be seen by a veterinarian immediately. If they are sick due to something genetic, please contact me (by email or phone) and show me where a veterinarian has determined it to be genetic and I will replace your pet or give you your money back. (This will be in the contract you sign.) Please write your name below indicating that you have read this paragraph.* This field is required.
37
How did you hear about K's Companions?
38
How would you like K's Companions to contact you?* This field is required.If you choose Facebook, please find our Facebook page and send us a message. This is much easier for us to find you as there may be multiple people with your name.
39
Please write any questions or comments that you would like to address to K's Companions to get back to you about.
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