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Small Animal/Bird Adoption Application

You must be 21 years of age or older to adopt a small animal/bird.

What type of pet are you interested in?

Pet's name if known:

Full Name

Street Address

City/State/Zip

Phone Number

Email Address

Names and ages of ALL members of the household (Including yourself):

Are all members of the household in agreement on adoption of this small animal?

If you rent, did you check with your landlord to make sure that you are permitted to adopt this pet?

Landlord's name and phone number (If you rent):

Do you have other pets in the home?

List all other pets in the home here:

Is anyone allergic to small animals, birds, hay or bedding in your home?

Are you aware of the enclosure requirements for the particular type of small animal you are interested in adopting?

Small Animals have a wide range of life expectancy depending on the species. Are you familiar with the average lifespan of the small animal you are interested in adopting?

Do you have a veterinarian for this pet, if needed?

Do you have any questions or concerns for our Small Animal Specialist that would prevent you from adopting or keeping this pet or that you need assistance with?

Signature:

Signature

Today's Date: