First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Alt Email

Applicant Age*

Please list the ages of all persons living at this residence.*

Do all members of your household favor having a guinea pig?

Tell us about you and your family, and why you are interested in adopting?*

Have you ever had a guinea pig before?

Does any member of your household have allergies to animals or hay? *

Where will your guinea pig live? (ex - Indoor, outdoor, cage, exercise pen, etc)*

What will you feed your guinea pig? *

Can you commit to proper veterinary care for your guinea pig? What is your limit on vet expenses?*

Your current and/or past Vet's name and phone number. *

Personal Reference (name, email address or phone number, and relationship to you)*

Please list any pets you currently have:*

If you currently have other animals, how do they interact with small animals? *

If something were to happen to you and you were no longer able to care for your pets, what would you do with them?*

Have you ever surrendered any animals to a shelter or had to rehome a pet? If so, why?*

Which of our available pets are you most interested in?
Choose an animal: Carmen Cleocatra Emmy Gigi Iris & Heather Marc Poppy & Lilac Sparky Sugaranne Thin Mint, Caramel deLite & Peanut Butter Patty!

Anything else you would like to tell us, or any other comments you may have?