Desert Rose Exotic Rescue Adoption Form

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Thank you for your interest in adopting one of our rescued reptiles or amphibians! You choosing to adopt from us means you'll be saving two lives: the one you're rescuing and the next one we are able to save. It is our goal to provide each animal the best home that will give it the care and attention it needs and deserves. Please provide all information required below.

Our adoption fee is NON-REFUNDABLE and includes, as applicable, the cost for vaccinations and other medical care, the spaying or neutering of the animal, microchipping, and an adoption service charge.

To qualify for adoption, you must:

* Be at least 18 years old and have a valid driver's license or state ID stating your current address.
* Own your home or be able to provide proof of approval by landlord/property owner/manager.
* Have the necessary means and ability to provide adequate time, money, care and love to the adopted pet.

We will only set up meets with an adoptable animal if your application gets approved. It is our policy to not "hold" animals for any length of time once an application is approved. Please only apply if you are truly ready NOW to bring a new animal into your home.

DISCLAIMER: We reserve the right to refuse adoption to anyone. There are several reasons we may choose to deny your request to foster/adopt with us. These reasons include but are not limited to: misleading or failing to provide accurate information on this application, negative references from veterinarian and/or personal references, lack of permission from landlord/property manager/homeowners association, rescue animal meeting current pet(s) is unsuccessful, inappropriate match of rescue animal to family, applicant name found on a “Do not adopt” list, etc. Completing an adoption application is not a guarantee that you will receive the animal you are applying for or any other adoptable animal from Desert Rose Exotic Rescue.

If you are approved, we will provide you with an agreement for you to sign and set up the meet for you to officially take ownership of your rescued reptile or amphibian.

We appreciate you taking the time to fill out this form in its entirety. Thank you!

Please name the reptile you are interested in adopting. *

First and Last Name *

Street Address, City, State, and Zip Code *

Your Phone Number *

Please provide the best number(s) to reach you.

Your Email Address *

Your Age *

We require proof of age at time of adoption.

Your Employer and Occupation *

Do you rent or own your home? *

Rent

Own

If you rent, does your lease have an animal clause? *

Do you have children? If so, what are their ages? *

What local or state laws apply to reptile ownership in your area? *

How many pets do you currently have? Please list your current pets here. *

Why would you like to adopt this reptile? *

Have you had, or currently have, reptiles? *

Yes

Please list the species and where they are now. *

What type of reptile experience do you have? *

What type of enclosure and accessories do you have for this animal, or you intend to acquire? (Be specific, dimensions, lighting and wattage, etc.) *

Who is your current veterinarian that specializes in reptiles? If you do not current have one, who do you intend to use? Please provide both the vet's name and clinic phone number. *

What will you feed this reptile? And where will you acquire food for it? *

What will happen to this reptile if you can no longer care for it? *

Is there anything else we should consider when reviewing your application? *

Please provide 2-3 references. List their names, phone numbers, and how many years you've known them. *

Today's Date. *

YYYY

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