Small Animal Adoption Application Form
Rabbit/Gerbil/Degu/Guinea Pig and Other
Email address *
Email List *
IWARS Small Animals occasionally does a few extra special small animal/exotic themed events or fundraisers throughout the year such as Christmas photoshoots, etc., with proceeds going towards helping animals still in rescue care. Would you like to join our mailing list to receive notice of these awesome opportunities? Don't worry, we won't spam your inbox like bunnies looking for bananas!
Name of Adoptable Animal *
Your answer
Name of Adoptive Home Applicant(s) *
Your answer
Phone (home) *
Your answer
Phone (work)
Your answer
Phone (cell)
Your answer
Address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Physical Address
(If different from above)
Your answer
Length of time at this address *
Your answer
If less than 2 years, please list former address
Your answer
Do you own or rent your home? *
Please note, if you rent we will require a written permission from your landlord allowing this adoption.
Name of Landlord
Your answer
Phone number of landlord
Your answer
Are there any restrictions, covenants or bylaws that limit the number or size of pets you are allowed to house where you live? *
If yes, what is the limit allowed?
Your answer
Other members of your family living in adoptive home *
Please include roommates, children, and ages.
Your answer
Age of Potential Adopter(s) *
Is everyone in your household/family group equally enthusiastic about adopting this animal? *
Your answer
Does anyone in your household/family have allergies/asthma *
If yes, please explain
Your answer
How did you hear about us? *
Your answer
How long have you been thinking of adopting an animal? *
Your answer
Please describe the personality or characteristics you're looking for in a companion animal *
Your answer
Why do you want to adopt this animal? *
Your answer
Are you adopting this pet to use for food? *
Do you have experience handling animals? *
Have you had small pets before? *
Have you researched or are you experienced with small animal needs? *
Please describe your thoughts about the most important responsibilities of owning this animal *
Your answer
Please describe your home, include any important details *
(House, townhouse, apartment, yard, environment, etc)
Your answer
Where will the animal be when you are not at home? *
Your answer
How many hours during an average day will the animal be left along? *
Your answer
Who will care for your animal(s) while you are away? *
(Ex. when you are on vacation)
Your answer
What will you do with the pet while you are at work? *
Your answer
Where will the animal sleep? *
Your answer
If the animal is to be in a cage, is it sized appropriately for its comfort? *
Your answer
Small animals require daily exercise outside of a cage. Please describe your planned exercise area *
Your answer
Who is or will provide your veterinarian service? *
Your answer
Small Animal illness strikes quickly. Warning signs include changes in eating, drinking, defecating, breathing or activity level. How would you respond to possible health concerns? *
Your answer
Did you know many small animals teeth and nails grow life-long and need to be checked regularly? *
Your answer
G.E.N.T.L is an acronym which describes the physical needs of small animals. Please describe your plan to maintain each area
(ex. regular vet checks, trimming, looking over, etc)
G - glands *
Your answer
E - ears *
Your answer
N - nails *
Your answer
T - teeth *
Your answer
L - look once over *
Your answer
Have you researched small animal pet food needs? *
Your answer
What foods should you avoid? *
Your answer
Small Animals require a variety of foods to meet their dietary needs. Please list the types/brands of food you will use to meet the needs of your new small animal(s) *
Rabbits, Guinea Pigs, Chinchillas: Hay, Pellets, Veggies. Birds: Seed, Veggies/Fruit. Mice, Hamsters, Gerbils: Food, Veggies/Fruit.
Your answer
Please list your current pets, including breed, gender, age and if they are spayed or neutered
Your answer
For pets previously owned, but no longer with you, please explain and provide the reason
(Ex. passed of old age, accidental death, re-homed privately, took to shelter, euthanized, etc.)
Your answer
Do you understand that changing an animal's environment may cause the animal to have accidents or chew, etc. especially during the early days of adoption? *
If a behavioural problem arises, what steps would you take to remedy that situation? *
Your answer
Do you understand and accept that animals can cause damage to your carpets, furniture, vehicles and belongings? *
Describe how you might respond to the accidents your animal may have *
(Ex. chewing, scratching, ripping, etc.)
Your answer
Are you willing to make a commitment to this animal for the rest of his/her life? *
Under what circumstances would you get rid of an animal and what rehoming method would you use? *
Your answer
If an animal must be re-homed for any reason, IWARS reserves the right to accept the animal back or can offer options to help. Are you aware that if you need to re-home your small animal, you can contact IWARS for assistance? *
Do you have any questions or concerns to discuss? *
Your answer
REFERENCES
Please provide one reference not living with you. Please print clearly.
Reference: Name *
Your answer
Phone Number (home) *
Your answer
Phone Number (cell)
Your answer
It is the policy of IWARS Small Animals, within 2 weeks of each adoption, to follow up with a complimentary phone call. Upon request of the adopter, or should concerns arise regarding the well-being of the animal, we reserve the right to conduct a home visit.
I understand and accept these terms. *
Required
I certify that I am adopting this animal strictly for companionship purposes, this animal will NOT be used for breeding *
Required
Disclaimer *
Required
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