Small Animal Adoption Application Form

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Rabbit/Gerbil/Degu/Guinea Pig and Other

Email *

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 *

Name of Adoptive Home Applicant(s) *

Phone (home) *

Phone (work)

Phone (cell)

Address *

City *

Province *

Postal Code *

Physical Address

(If different from above)

Length of time at this address *

If less than 2 years, please list former address

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

Phone number of landlord

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?

Other members of your family living in adoptive home *

Please include roommates, children, and ages.

Age of Potential Adopter(s) *

Is everyone in your household/family group equally enthusiastic about adopting this animal? *

Does anyone in your household/family have allergies/asthma *

If yes, please explain

How did you hear about us? *

How long have you been thinking of adopting an animal? *

Please describe the personality or characteristics you're looking for in a companion animal *

Why do you want to adopt this animal? *

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 *

Please describe your home, include any important details *

(House, townhouse, apartment, yard, environment, etc)

Where will the animal be when you are not at home? *

How many hours during an average day will the animal be left along? *

Who will care for your animal(s) while you are away? *

(Ex. when you are on vacation)

What will you do with the pet while you are at work? *

Where will the animal sleep? *

If the animal is to be in a cage, is it sized appropriately for its comfort? *

Small animals require daily exercise outside of a cage. Please describe your planned exercise area *

Who is or will provide your veterinarian service? *

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? *

Did you know many small animals teeth and nails grow life-long and need to be checked regularly? *

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 *

E - ears *

N - nails *

T - teeth *

L - look once over *

Have you researched small animal pet food needs? *

What foods should you avoid? *

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.

Please list your current pets, including breed, gender, age and if they are spayed or neutered

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.)

Has anyone in your household, or your animals traveled to British Columbia or the United States within the past month? *

If you are adopting a RABBIT, are you aware of RHDV? *

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? *

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.)

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? *

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? *

REFERENCES

Please provide one reference not living with you. Please print clearly.

Reference: Name *

Phone Number (home) *

Phone Number (cell)

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. *

Yes

Required

I certify that I am adopting this animal strictly for companionship purposes, this animal will NOT be used for breeding *

Yes

Required

Disclaimer *

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all the questions can result in this application being declined.

Required

Send me a copy of my responses.

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