Name
*
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Describe your living situation
*
Please select all that apply
Occupation
*
Please also list your hours
Please List Three References
*
Name, Phone #, Relation to you
Are you over 21?
*
Yes
No
Do you have children or are children over frequently?
*
Yes
No
If So, what are their ages
*
Please list your veterinarian or veterinarians you have seen in the last 3 year
*
Name, Phone #, Address
Please List your other pets
*
Name, Age, Species
Sex
*
Male
Female
No Preference
Does anyone in the household have allergies?
*
If so, who and to what species
How would you describe your household?
*
Have you ever owned a guinea pig before?
*
Yes
No
If So, How many guinea pigs have you owned in the past?
*
1-3
3-5
5-10
>10
Do you currently own any guinea pigs?
*
Yes
No
If so, will they be housed with the new guinea pig?
*
Yes
No
If they get along
Who will be the primary caregiver for the guinea pig?
*
Adult
Teenager
Child
Do you have a cage?
*
Yes
No
Size and description of enclosure
*
What room or area will the guinea pig cage be in?
*
How much time will you have to play and interact with the guinea pig?
*
If you have other pets, have they lived with a guinea pig before?
*
Yes
No
If so, how did they get along?
*
Will you be willing to purchase fresh fruit and veggies for the guinea pig?
*
Yes
No
What type of bedding will you use in their housing?
*
Carefresh
Cedar Chips
Fleece Blankets
Are you prepared to keep your guinea pigs for the span of their life?
*
Yes
No
Guinea Pigs need vitamin C, Timothy Hay, Pellets, and fresh fruits/vegetables. Will you willing to purchase and feed the specific foods to them?
*
Yes
No
Guinea pigs should visit the vet for regular check ups as well as when there is a problem. Will you be willing to get vet care when needed?
*
Yes
No
Can you commit to caring for this animal its whole life?
*
Yes
No
If anything changes / doesn't work out/ your health, will you guarantee that you will return the animal to our facility?
*
Yes
No
Will you be willing to commit to a two week trial period before finalizing the adoption?
*
Yes
No
