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E-mail me
dslkmp@yahoo.com
Please fill this form out and return it when inquiring about adopting.
Are you 21 years of age or older? _____________ (proof may be requested)
Why are you considering adopting a guinea pig? Companionship_____________ Breeding___________ Other__________
Where would the animal be primarily housed? Inside___ Outside___ About equally inside and outside___
Where would the animal stay if you are gone for great lengths of time?
Home, petsitter comes by___ With a friend___ At the Vets office___ House sitter stays at my home___ Alone, but with food and water___ Other (describe)___________________
Is there a particular guinea pig of ours that you're interested in? _____ If yes, what is the guinea pigs name?____________________
If no, please note your preferences below so we can let you know when such an animal becomes available: Purebred, mixed breed or no preference?_____________________ Male, female, or either? ___________________ Age Range:_________
Animals can be expensive to care for (estimated average annual cost is for one guinea pig). Are you willing and able to provide adequate food, shelter and medical care, including yearly checkups and regular nail/tooth care for an adopted animal? ___________
Adopter's Name: ___________________________
Other Adult(s) at Residence:_________________________
Street Address: _________________________________________
City/State/Zip: __________________________________________
Telephone numbers: Home: _______________________ Work:___________________________
Number of children living in the house:_________________ Ages of the children_______________ Do they live with you full time?____
Do other children visit? ______ If yes, what are their ages? _____________ How often do they visit?______________________
Does anyone in your household have allergies to animals?___ If yes, to what kinds of animals?___________________
Does your entire household know that you are considering adopting a pet?__ If no, why not? ___________________________________
Do you live in a house__ apartment__ mobile home___ townhouse___ Other________________________________
Do you own? If you rent, you MUST provide proof of permission to have a pet on the premises
If renting, landlord's name and telephone number: ___________________________________________
What problems would make you return an animal?
allergies___ no time available___ moving___illness or injury___ shyness/other fears___ shedding___ too many pets___ Move___ new baby___divorce___ high cost of animal's care___ personal illness_____ other(explain)________________
Describe your home's activity level: Busy active/noisy; moderate comings/goings; or quiet occasional guests_______
Do you feel that a pet should be spayed/neutered? _______ If no, why not?_______________________________
Approximately how many hours each day would the guinea pig be handled? ________________
Please list all animals that you presently own:
Type of Animal/Breed________________________________________ ____________________________________________________________
Time Owned__________________________________________________ ____________________________________________________________
Age_________________________________________________________ ____________________________________________________________
Gender_____________________________________________________ ____________________________________________________________
Neutered____________________________________________________ ____________________________________________________________
Vaccinated__________________________________________________ ____________________________________________________________
Who is responsible for care of the above daily?____________
When you are on vacation? ________________________
Name and telephone number of current veterinarian, if any:________________________________________________________ ____________________________________________________________
Please list animals you previously owned and describe what happened to them:
1) ___________________________
2) __________________________
3)____________________________
4)____________________________
Individuals who adopt a guinea pig from Punky Pig are contacted periodically for an update to help ensure that the animal successfully adjusts to its new life. What is the best time to call you at home to check on how the adopted animal is adjusting?___________________
If at any time an adopter cannot keep the animal, it must be returned to Punky Pig Rescue.
By signing below, I acknowledge that I completely read this questionnaire, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any Punky Pig guinea pig adopted by me.
Signature: ______________________________
Date:________________ Reviewed By: __________________
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