Small Animal Adoption Profile Form
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2small
animal
Thanks for visiting! Your completed profile will help us find a suitable home
for each animal and the companion most compatible with your lifestyle.
adoption
Name _______________________________________________________________________
profile
Address _____________________________________________________________________
City/State _____________________________________ Zip Code _____________________
Home Phone ____________________ Cell Phone ________________________________
Work Phone _____________________ CA Driver’s License or CA ID ______________
Email ______________________________________________________________________
Please tell us why you’re interested in adopting a small animal _________________
____________________________________________________________________________
adoption fee: Rabbits $40 | Guinea Pigs $15 | Rats & Hamsters $10 | Mice $5
household
1 Housing:
q Own
q Rent -- have you received your landlord’s approval? q Yes q No
q Living with Parents
q Fenced yard at your property? q Yes q No
2 Landlord’s Name __________________________________ Landlord’s phone ___________________________
3 My household consists of:
q Adults only
q Family with children older than 10 years old
q Family with young children under 10 years old
q Live alone
4 The activity level in my home is:
q Quiet
q Active
q Hectic
5 I am...
q rarely home (sleep there only)
q at home when not at work
q home all day (or someone is there)
...........................
6 Does any member of your household have allergies to animals? q Yes: ______________________ q No
pet history
7 Current pets in household:
type of pet
age
sex
altered (spayed / neutered)?
kept in / out / both
how long owned
8 Please tell us about your past pets:
type of pet
how long owned
reason no longer own
9 Who is your veterinarian? _______________________________________________________________________
continue on reverse
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Parent category: Legal