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Name:

Address:

Phone Number(s):

Email address:

Age :

Do you live in a house, apartment, condo or mobile home?

If you rent, will your landlord object to you having a reptile?

How long have you lived at your present address?

Are you planning to move in the next 6 months? If you are moving, what are you planning to do with your reptile?

Do all members of the household favor getting this type of reptile?

Which members of the household will be primarily responsible for the feeding, cleaning, handling and general care of this reptile?

Have you adopted a reptile before?

If you have to give this reptile up, what do you plan to do?

Have you ever brought any of your own animals to a rescue or shelter?

Have you cared for reptiles or amphibians before?

What species do you have experience with?

If you no longer have these species, please explain how long you had them and what happened to them.

Do you already have a veterinarian who is experienced in evaluating and treating reptiles?

If you do have a vet, please provide the name and phone number.

If your new reptile gets lost, what steps will you take to find it?

What species of reptiles are you interested in adopting?

What size reptiles are you interested in adopting?

What sex are you looking to adopt?

Do you plan to breed this reptile?

Do you have any experience caring for the species you wish to adopt?

If you do have experience, how much do you have?

How much do you anticipate spending yearly to provide the appropriate food, medical care, permits (if required) and supplies?

What types of supplies and food do you think you will need for the reptile you wish to adopt?

What size housing do you think you will need to house this reptile for the rest of its life?

Do you already have an enclosure available? If yes, please describe it in detail.

Many of the reptiles put up for adoption require immediate medical care. Are you willing and able to provide this care?

What medical conditions are you willing and not willing to treat?

If you are interested in adopting a particular species or type of reptile, please tell us what you already know or have learned about the needs and disposition of this type of reptile.

Many reptiles live for a very long time. Are you ready to take on the responsibility for the type of reptile you adopt for the rest of its life?

What provisions will you make to assure it is taken care of after you or the primary care-giver is unable to care for it?

What books or other material have you read about the reptile you wish to adopt?

Do you belong to a herpetological society?

Do you have a steady source of food for this reptile?

What other types of animals do you have now?

What will you do about care for your reptile when you have to travel on business or vacation?

Please put down any other pertinent information that you think will help us to get to know you better as a prospective adopter.

Please list the names of at least 2 people who have direct knowledge of your ability to care for the reptiles selected.



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