Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Address
              
             
          
                
                
                  
                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
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                    (###) 
                   
                
                
                  
                    ### 
                   
                
                
                  
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Describe your living situation 
              
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                Check all that apply 
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you have children or do you have children over frequently? 
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If So, What are their ages? 
              
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              Preferred sex of hedgehog
              
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                    Female 
                  
                    Male 
                  
                    No Preference   
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have you ever owned a hedgehog before? 
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If so, How many have you owned before? 
              
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              Do you currently owns any hedgehogs? 
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If So, will they be housed together? 
              
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                    Yes 
                  
                    No  
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Who will be the primary caregiver for the guinea pig?
              
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                    Adult 
                  
                    Teenager  
                  
                    Child  
                  
                    Classroom  
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you have a cage?
              
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                    Yes 
                  
                    No 
                  
                    Not yet, but I need suggestions  
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How much time will you have to play and interact with your hedghog?
              
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                    less than an hour 
                  
                    about an hour 
                  
                    more than an hour  
                  
                    Other 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If above answer was other, please explain. 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If you have other pets, have they lived with a hedghog 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 
                  
                    Yes, but I would like a list of what I can and can not give 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What type of bedding will you use in their housing?
              
             
          
                
                
                
                  
                    Carefresh 
                  
                    Cedar Chips 
                  
                    Fleece Blankets  
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you prepared to keep your hedgehog for the span of their life?
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Hedgehogs require special pellets, mealworms, some cat kibble and fresh fruits/vegetables. Will you willing to purchase and feed the specific foods to them?
              
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                    Yes 
                  
                    No 
                  
                    Yes, can you provide me with a list of options 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Hedgehogs 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?
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If anything changes / doesn't work out/ your health, will you guarantee that you will return the animal to our facility?
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Will you or have you breed hedgehogs? 
              
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                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Will you be willing to commit to a two week trial period before finalizing the adoption?
              
             
          
                
                
                
                  
                    Yes 
                  
                    No