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Please note that questions left unanswered, or partially answered can delay the application process and are grounds for denial of any applicant, so be sure to fill
in all fields. All questions are considered mandatory unless noted. We take these adoptions very seriously and we want to make sure that each and every adoption is
a successful one.
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Last Name: |
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Email: |
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| Street: |
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City: |
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State: |
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| Age (if under 18): |
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Phone: |
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Occupation: |
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Have you ever been arrested for any crime relating to the neglect of, abuse of, or cruelty to any other person
or any animal?
If you checked this box, please explain by providing dates, location of trial, and disposition:
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1. What animal are you applying for?
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2. Do you live in:
House
Apartment/Condo
Mobile home
Do you live with:
Parents
Relatives
Kids
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3. If you rent, will your landlord object to your having a reptile? Yes No
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4. How long have you lived at your current address?
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5. Are you planning to move within the next six months? Yes No
If so, what do you plan to do with your animal?
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6. Have you ever adopted an animal? Yes No
If so, what is the status of that animal?
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7. If you must give up this animal, what do you plan to do?
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8. Have you ever brought any of your own animals to a shelter or rescue society? Yes No
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If yes, what were the circumstances?
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9. Have you owned or cared for reptiles or amphibians before? Yes No
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If yes, what kind (species name)?
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If you no longer have these animals, please explain how long you had them and what happened to them.
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10. Do you already have a veterinarian who is experienced in evaluating and treating reptiles and amphibians? Yes No
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If Yes, please provide the name and phone number.
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11. If your new animal gets lost, what steps will you take to find it?
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12. How much do you anticipate spending yearly to provide the appropriate food, medical care, permits (if required in your area) and supplies?
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13. What types of supplies and food do you think you will need for the animal you wish to adopt?
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14. What type and size housing do you think this animal requires at its present size?
In one year?
In five years?
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15. How much do you think it will cost for you to acquire the necessary supplies and food? (NOTE that this is NOT the same as #12!)
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16. Do you intend to breed this animal? Yes No
If so, what do you intend to do with the offspring?
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17. How many adults in your household?
Number of children?
How old are the children?
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18. Do all family members favor getting this type of animal?
Yes No
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19. Which member(s) of your household will be primarily responsible for the feeding, cleaning, handling (if appropriate) and general care of this animal?
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20. If you are interested in adopting a particular species or type of reptile or amphibian, please tell us what you already know or have learned about the needs
and disposition of this type of animal (Please answer in general; I realize many applicants will have extensive knowledge)?
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21. Many reptiles live longer than 15 years; some tortoises may live more than 100 years. Are you ready to take responsibility for the animal you adopt for its entire life?
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22. What books or other materials have you read about the animal you wish to adopt?
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23. What books relating to this animal(s), or to reptile or amphibian care do you presently own?
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24. Do you belong to a herpetology society If so, which one(s):
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If you want to adopt an iguana: (if not, please skip these iguana-related questions)
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25. Have you ever had one before?
Yes No
If so, what happened to it? (Be honest if it died - this is not necessarily a disqualifier given the poor information out there.)
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26. Are you prepared to provide suitable housing for one? This means at least a dedicated room or room-sized enclosure
Yes No
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27. If you have not done so, please read the Iguana Care, Feeding and Socialization article, and the Dealing with Breeding Aggression article, linked to the
Iguana Care page located at the WWW site www.anapsid.org to get some idea of proper care, housing, and behavioral issues.
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If you are adopting a prey-eating reptile (otherwise skip this question.)
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28. If adopting a prey-eating animal (snakes, some lizards, etc.) are you prepared to locate a source of pre-killed food?
Yes No
Do you have experience in using pre-killed food for reptiles?
Yes No
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29. What other types of animals do you have?
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30. What will you do about care for your reptile or amphibian when you have to travel on business or vacations?
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31. Please put down any other pertinent information you think will help me get to know you better as a prospective adoptor.
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32. Please list the names and contact information (phone/e-mail, etc.) of at LEAST 2 people who have direct knowledge of your ability to care for the
animals requested. VaDR will make every effort to contact them prior to approving any applicant.
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