Name
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Address
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City, State and Zip Code
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Phone Number
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Email
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Pet Related Web Site (if you have one)
Did you read my adoption info page on my website? If not, it is here: Http://www.bssrats.weebly.com/adoption-info.html
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Yes
No
Do you understand that any and all monies paid are NON REFUNDABLE?
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Yes I understand
No I do not understand
Are you over 18? If no, please have an 18+ year old legal guardian fill out this form.
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Yes
No
What sex are you looking for?
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Male
Female
Either sex
Both
How many rats are you looking for?
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One
Two
Three
Four
More than four
Who will be this pets main caretaker?
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If there are children in the home, will you supervise them with the rats?
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Have you owned rats in the past?
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Yes
No
For how long have you owned rats?
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Never- I'm a new rat owner.
Less than 6 months
6-12 months
1-2 years
2-3 years
3-6 years
6-10 years
10+ years
Do you currently own rats?
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Yes
No
If you currently have rats, please list ages and sex of each rat you currently have. (Approximate age is okay if you don’t know the exact birthdate.)
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Are there other RODENTS in the house? (hamsters, gerbils, guinea pigs, etc). If yes, please list breed, sex and age.
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Are there other pets (dog, cat, bird, reptile) in the house? If yes, please list breed, sex and age.
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Do you breed any of those pets? If so, give details.
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Does anyone in your home smoke?
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Yes- inside
Yes- outside only
No
Do you plan to quarantine the new rat(s)? If so, where do you plan to quarantine these new pets?
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How long do you quarantine for?
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I don't quarantine.
One week
Two weeks
Three weeks
Four weeks
More than four weeks
Have you ever had to place a pet in a shelter? If yes, please explain. SAYING YES WILL NOT AUTOMATICALLY DISQUALIFY YOU FROM ADOPTING. PLEASE EXPLAIN WHAT HAPPENED.
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What are your plans for this pet?
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Pet/ companion
Breeder
Food for another animal
Other- please explain down at the bottom
What kind of cage will you be using?
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Homemade cage
Wire cage
Martins cage
Bin cage
Wooden cage
Tank or aquarium
Critter Nation/DCN
Other type of cage
Ferret Nation/DFN
Please upload a picture of your cage.
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What kind of carrier will you be using?
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Small animal carrier
Transport cage
Other homemade carrier
Please upload a picture of your carrier.
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How many other rats will share this cage?
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What kind of foods will be fed? How often do you plan to offer food?
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What kind of bedding will be used? How often do you plan to clean your cages?
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Where will the cage be located?
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Will you be willing to let Blue Stone Siamese Rattery know of any health or temperament issues if they arise?
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Yes
No
The contract states you may not give, sell, or transfer this pet to anyone else, including animal control or a shelter. BSS is to take back this pet if you cannot care for it, no matter what it's age. Do you understand this?
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Yes
No
The contract states these rats are sold as PET ONLY and may not be bred under any circumstances. I will take legal action if needed in the event you break my contract. Do you understand this?
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Yes
No
Please list any rat related Facebook groups you belong to.
Vets Office Name
*
Veterinarians Name
*
Veterinarians Phone Number
*
Do you have any other questions for me?
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