Adoption Inquiry

This does not obligate you to getting an animal nor does it obligate us to adopt to you.

  1. Species desired:
  2. Pickup or Ship Animal (circle one)
    1. Please note, shipping at adopters additional expense
    2. Pictures must be provided of animal’s new home BEFORE shipment (email me for instructions of the pictures I need)
    3. Shipment will ONLY be available for experienced reptile owners, new owners must be local
  3. Contact Information
    1. Name:
    2. Address:
    3. Home Phone:
    4. Email:
    5. Employer/Occupation:
    6. Work Phone:

 

  1. Your home: Rent or Own (circle one)
    1. If you rent, what is your lease’s animal clause and are you willing to provide a photocopy of this clause?

 

  1. Are their any laws where you live regarding reptiles?
  2. Are their children in your home? Yes / No
    1. If yes, what are their ages?
  3. Are their any elderly persons in your home? Yes / No
  4. Does anyone in your home have medical problems? Yes / No
    1. If yes, does their medical problem inhibit their immune system in any way? Yes / No
  5. Please list all pets currently in your home:

 

 

  1. List all species of reptiles you have kept in the past, if any:

 

  1. Where are the reptiles from the previous question now? What happened to them?

 

  1. What kind of reptile work or hobby experience do you have?

 

  1. Do you have a reptile related website?

 

  1. Why do you want to adopt this reptile?

 

  1. Type of setup you already have for this animal (be very specific):

 

  1. What will you feed this reptile?

 

  1. Where will you get the food items?

 

  1.  Who is your current veterinarian and do they handle reptiles?

 

    1. If you do not have a vet, who do you plan on using?
    2. Vet’s phone number is _____________
  1. What will happen to this reptile if you can no longer keep it?

 

  1. Is their anything else you would like or think we need to know about you?

 

Please complete and email this form to jenn@blackninjakitty.com or Postal mail to

Jennifer Harrell, Kingsport TN 37663 (Contact for home address, it is not given except in exceptional circumstances)

 

Form modeled after www.arrowheadreptilerescue.com, Thanks!