Adopt and Surrender Applications
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email address:  korthon@milwpc.com
Copy and Paste these applications into your email program and fill out the the info requested as best you can.  Adoptables are listed both here on this site and at kingsnake.com.  They are also listed at pet fairs and reptile shows in the Greater Milwaukee Area.  You mail also snail mail at address in contact section.  Please be sure to email applications to [email protected]
Name

Address 1

Address 2

Phone (                )                       -

Circle the appropriate answer
Do you  OWN or RENT?
If you rent, is there a pet clause in your lease YES       NO
If you rent, please provide your landlord�s name and phone number on the line below


Here are a few questions about iguana care and what you know.  If you need more room, use a separate piece of paper to supply your answers.
1. How large can a properly cared for iguana possibly become?
2. How old can a properly cared for iguana possibly be?
3. Do females need a male to become gravid (pregnant) and lay eggs?
4. Is meat or animal by products safe for iguanas?
5. What should an iguanas diet be?
6. Do iguanas need vitamins?            If yes, what type?
7. What is a well-rounded healthy diet for iguanas?
8. Do iguanas need heat?                If yes, what is a good day time and night time temperature range?
9. Circle the heat sources that are SAFE for iguanas
HOT ROCK      CERAMIC HEATING ELEMENT(CHE)      HEATING PAD(REPTILE)
HEATING PAD (HUMAN)       REGULAR  LIGHTBULBS       REPTILE BASKING LAMPS
10. Of the heating sources above that you did not feel were safe, what is the problem?
11. Do iguanas need UV-rays?        If yes, how is that provided?
12. Do iguanas need humidity?         If yes, how is that provided?
13. What level of humidity do iguanas need?
14. How often do iguanas need to go to the vet?
15. Do you own any of the following books and if not are you willing to purchase the ones available?
Green Iguana � The Ultimate Owners Manual by James Hatfield III
Iguanas For Dummies by Melissa Kaplan
Any of the Reptiles USA Annuals
16. What size of enclosure is needed for an adult iguana?  Are you able to provide that?
17.  Please add a bit of personal information about yourself.  Do you own other pets, do you have children, are you able to spend around 10$ weekly on food as well as 35$ for a yearly vet visit and supply incidentals, are you internet active, time able to spend with a pet, or hobbies or interests you feel may help us get to know you better.


Thank you for taking the time to fill this application out.
Cindy Steinle
Small Scale Reptile Rescue
PO BOX 341026    
Milwaukee WI 53234-1026  
414-708-8698
Iguana Adoption/Foster Application
Iguana Surrender Application
Name of Iguana     Approx. Age of Iguana  Length you have owned Iguana                     .

Sex of Iguana    MALE     FEMALE   ??? Weight _______lbs_____oz     Snout to Vent Length _______Feet______Inches

Reason for giving up the iguana


Current Housing Size


Is Iguana housed alone?   YES       NO

Current Heating implements


Current Lighting Implements

Current Diet



Has your iguana ever been feed any animal protein or by-products?  YES NO
If yes, what where they feed and for how long a period of time


Do you have a vet that you go to for yearly check-ups?  YES       NO
If yes what is his/her contact information

Has your iguana ever experienced breeding season effects?    YES NO
If yes what?  Ie, Male get more aggressive and attempt to mate, females experience egging issues�


Have you experienced any health problems with your Iguana?  If yes what was the treatment and where was it preformed?


Does you iguana have any physical abnormalities that are noticable?  Ie broken tail, missing toes, scars

Do you know of the cause of these abnormalities and if yes what is the cause?    YES NO 

What is the personality of your iguana?


How often is your iguana handled?

Is your Iguana Familiar with:
Children YES NO
Dogs  YES NO
Cats  YES NO
Other Pets YES  NO


Has your iguana ever biten anyone?  YES  NO
If yes please explain each time.


Are you willing to allow all items that you currently use for your iguanas care to go with them including cage, lights and heating supplies to help ensure that we can find a good home?    YES   NO

Finding a home for an iguana can take a bit of time anywhere from 1-6 months.  What I can do is help cut that time down by making and distributing fliers throughout the greater milwaukee area and at times possibly getting your iguana into a foster care home.   I also supply the ability to distribute and scan adoption applications for you only giving you ones that I feel will make a good home.  Please supply me with contact information so that I may get ahold of you if a home is found.


Cindy Steinle
Small Scale Reptile Rescue
[email protected]
414-708-8698
PO Box 341026
Milwaukee WI 53234-1026



Your name
Your Address

Your Phone Number (                     )                           -                                             .

                                                                         Release of Custody
Name:
Phone:(              )                          -
Address:

E-mail address: 
DO YOU WISH US TO RELEASE YOUR CONTACT INFO TO APPROVED ADOPTOR UPON ADOPTION COMPLETION? (circle)  YES  NO
Date:
Type of herptile:
Circle All that apply:  Give-up Stray  Wild   Injured/Ill (needs rehab)
Name of animal:                    Age:               Sex:                   Color phase:
1)  Reason for giving up:
2)  Where did you get it originally?
3)  How long have you owned this animal?
4)  Have you ever given up an animal before? 
If yes, please explain.

5)  Has this animal ever bitten anyone?
If yes, describe circumstances

6)  Has this animal had any type of medical attention? Please specify.


7)   Please state your vet�s name and location:
8)  Disposition of animal:       tame  semi-tame  aggressive
9)  Describe the cage this animal has been in if it is not with the animal:

10) Describe the diet and frequency of feeding of this animal. Please be as specific as possible:


11)  Describe the amount and frequency of handling of this animal:


I understand that by completing and signing this form that I acknowledge that I have legal rights to this animal, and am legally able to make decisions regarding its care.  Furthermore, I give up all ownership and other rights to this animal.  I understand that the Small Scale Reptile Rescue will try to place this animal in an approved home, but that circumstances may require this animal to be euthanized.

Sign:_________________________________ Date:_______

Small Scale Reptile Rescue relies on donations to maintain animals in its custody.  Please consider making a contribution to cover the costs of caring for this animal. Keep this in mind:  Some animals may take several weeks or months to place. We must care for them until then; your donations make this possible. Average cost of feeding and heating a reptile is $5-10/week.

Amount of donation:  $                        Thank you.
GENERAL SURRENDER FORM
GENERAL ADOPTION FORM
Which animal are you interested   (species or name):

If you are interested in adopting a particular species or type of animal, please tell u s what you already know or have learned about the needs or disposition of this type of animal (equipment needed, diet, etc):

Please tell us about your living situation
Do you (check one) �
Rent a house  Own a house  Rent an apartment
Live with parents or guardian  Other  if other, describe below


If you lease or rent, what is your leases animal clause? (We may ask to speak to landlord as well as see copy of lease)

How many adults in your household?
How Many Children in your household under age of 18?
How old are the children?

Which member(s) of your household will be primarily responsible for the feeding, cleaning, handling (if appropriate) and general care of this animal?)

Are there any laws where you live regarding reptiles?

Have you owned or cared for reptiles before?

If yes, what species, and for how long?


If you no longer have these animals, please explain why you no longer have them:


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

If Yes, please provide the name, clinic, and phone number:


What will happen to your reptile if for some reason you can no longer keep it? 
(Note: you must answer this question in full, �it will never happen� is not an acceptable answer):


Please provide the names and phone numbers or email addresses of two references (whom you have known at least one year) who can talk to us about you as a pet owner.
1.

2.

Signature:

Date:

If under 18 years of age, a parent or guardians signature is required:
Name:        Relationship:

Signature:     Date:
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