Adoption Application

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Name (First, Last) *

Address *

Phone Number *

Email Address

Preferred Method of Contact

Text

Call

Other:

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Date of Birth (Must be 18 years old to adopt) *

YYYY

Are you allowed reptiles where you live? *

Yes

Name or ID of reptile interested in adopting *

Species *

What experience do you have with this species of reptile or similar species? *

How would you care for this animal? *

Describe the enclosure you will be providing for this reptile. Please include information about enclosure size, heat, substrate, and lighting. *

What kinds of enrichment are you planning on providing to your reptile? *

In the event that your reptile will need to see the vet, which clinic are you planning on using? *

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