PRECIOUS CRITTERS PET RESCUE

GUINEA PIG ADOPTION APPLICATION

Thank you for taking the time to complete this application form entirety.  The information provided will help us understand your home environment.

Please note: You must be at least 18 years of age to complete this application & sign our adoption contract.

 PCPR has the right to refuse any applicant at any time during the adoption process.

*    = Required

Animal Information:

(Please fill out even if you don’t have a certain piggy in mind)

Sex: F M Unknown     Age:

Guinea Pig's Name(s) or ID #(if have certain piggy in mind)

How many piggies do/are you want/ing to adopt?

Background Information:

* How did you hear about Precious Critters?    Online Friend Classified Ad Other

 * If you found us on the internet, what website was it? 

*  Why are you considering adopting a guinea pig?

* What type of bedding will you use?

 *  Have you ever had a guinea pig in the past? 

 * If yes, how many years of experience do you have?

* When you go on vacation or in case of an emergency, who will care for your animal?  

* This will be a:          Family Pet         Child’s Pet            Your Companion               

            Classroom Pet                 Gift                 Other

*  If this animal is to be a classroom pet, please provide information:

 Name of school

      ISD:

       Public or private? Private Public

 Address of School:

  City         State    Zip Code:

  Phone:

     Principal’s Name   Teacher’s Name:  Class Grade

* Where will this animal be kept? 

  Indoors Outdoors Garage Other    If other  

* Who will be primarily responsible for the animal’s care?

*     Do you plan on breeding the/se guinea pig/s now or in the future? Yes No

     If yes, why?

*     Do you plan on showing the/se guinea pig/s now or in the future? Yes No

 If yes, why?

*     What guinea pig food diet do you use/plan on using for your guinea pig?  

*     If you don’t already have a specific diet in mind, would you like us to recommend a diet?

 Yes No

*     Do you have a back up plan for your guinea pig if you die or have to move and can not take your animal with you?  Yes No

If yes, please describe: 

    * If you had to suddenly relocate or had other drastic lifestyle changes that made it hard to keep your guinea pig, what would you do with him/her?

*     How many hours on average will you have to spend with the piggy daily?

*     How many hours a day will your pet spend home alone?

*     Are you prepared to make a commitment to this animal’s lifetime that could last between 5 to 8 years(average guinea pig lifespan)? 

Yes No

 * Have you ever adopted from a rescue or shelter? Yes No

If yes, please list the organization’s name(s)

*     Do you understand that it may take the animal a few weeks to get adjusted to it’s new home environment?   Yes No

Contact Information:

*     Your Full Name: 

*     Your Spouse/Partner’s Full Name:  

*     Home Address:   

*     City      *State    *Zip Code

     * Drivers License Number (include state):

*     Home Number:  

*      Cell Phone Number:

       Work Number:

*      E-Mail Address:

*     Your Age:   

*     Your Spouse’s Age:

*     What do you live in?  

Apartment   House      Townhouse/Condo          Other

*     Own or rent?    Own     Rent

*     If you rent, does your landlord approve of animals?  Yes No  Not sure

*     Your landlord’s name:

*     Your landlord’s number:

**We will call your landlord to make sure he/she is okay with animals in your home**

*     Have you moved in the last 5 years? Yes No 

*     Do you plan on moving within the next year? Yes No 

*     Is there a chance you might move within the next 5 years?   Yes No Maybe 

*     Your employer:

*     Business/Company you work for:

FAMILY:

*     Do you have children?  Yes No 

 * If yes list name(s) & Birthday(s) Below

Name                          Birthday 

*     Are there any children besides your own that will frequently be visiting the household? Yes No 

 If yes, please list below.

 Name                          Birthday 

*     How many adults live in the home:  

*     How many people total live in the household  

*     Does anyone is the household have allergies to animals or smoke? 

*     Are there any other pets in your home?     Yes No 

*     If yes, please list below.

Name            Gender     Animal Type Species   Spayed/Neutered How long have you had this animal?   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   

*      If no, when was the last time you had a pet

*     Do you have any animals that could possibly injure your new animal? 

      * Have you ever had to give up an animal? If yes please explain why:  

CURRENT EXOTIC VETERINARIAN INFORMATION:

*     Do you have an exotic vet for your new pet to go to? Yes No

*     If you don’t have an exotic vet, will you be willing to get one?  Yes No

*     How often do/will you take your pet to the vet?  

     * How much are you willing to spend on vet care for this animal? 

     * If your small animal becomes seriously ill or injured and your veterinarian says expensive medical treatment is needed, what will you do?

* Do you know that not all vets see exotics? Yes No 

      If your local vet does not see exotics, would you like us to help you find one? Yes No

*      YOUR VETERINARIAN:

Vet’s Name:

*     Clinic:

      * If you do have a vet, are you willing to provide records? Yes No

*    As part of our Adoption Contract, if you no longer want or are unable to care of your critter(s), he/she/they must be returned to PCPR.

Are you okay with this? Yes No

* If not, please explain why:

Anything else?

Is there anything else you would like us to know about?

Thank you for submitting this application.

P.C.P.R. will review it.

**Please know that we have the right to decline any application at any time during the process if we feel this home is not suitable for the animal.**

Thanks,