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Reptile Adoption Application
You must be 21 years of age or older to adopt a reptile.
What type of pet are you interested in?
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Pet's name if known:
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Full Name
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Street Address:
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City/State/Zip:
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*
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Phone Number
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Email Address:
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Names and ages of ALL members of the household (Including yourself):
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Are all members of the household in agreement on adoption of this reptile?
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If you rent, did you check with your landlord to make sure that you are permitted to adopt this pet?
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Landlord's name and phone number (If you rent):
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Do you have other pets in the home?
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Yes
No
List all other pets in the home:
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Reptiles have a wide range of life expectancy depending on the species. Are you aware of the average lifespan of this reptile?
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Are you aware of the heating/lighting requirements of this reptile?
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Are you aware of the enclosure requirements suitable for this species of reptile?
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Do you have a veterinarian for this pet, if needed?
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Do you have any questions or concerns for our Reptile Specialist that would prevent you from adopting or keeping this pet or that you need assistance with?
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Signature
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Signature
Today's Date:
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Submit
