Star's Rat Rescue Adoption Form
Your name
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First & Last Name
Over 18 years of age?
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Yes
No
Your Email
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Confim Email
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City & State
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Your Phone Number
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-
Area Code
Phone Number
Which rats would you like to adopt?
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Who will be the primary caretaker of the rats?
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How much experience do you have with rats?
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How many rats do you currently own?
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What type of bedding will you use? Please be specific
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What do you plan to feed your rats? Please be specific
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What type of cage will you use? Be specific including brand name
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How much time per day will your rats get out of cage time?
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Do you rent or own your home?
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Rent
Own
If you rent. What is your landlords name and phone number: If you own please put N/A
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Have you adopted from Star's Rat Rescue before?
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Yes
No
Have you ever surrendered rats to SRR?
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Yes/No?
Vet info
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Vet name, address & phone number
Do you breed any animals or plan to?
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Do you have children (how many what age)?
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Please list any pets currently living in your home, and if they are vaccinated and altered.
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List your user names you use on public sites like RatChatter, GooseMoose, RatForum, FaceBook, etc
*
If not located in South Dakota, do you have transportation? If yes how long/far are you willing to travel in miles?
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Do you have any additional comments, questions or concerns?
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Additional reference (if desired)
By checking the box below, you understand the terms of this form and adoptee. You hereby agree that you will not use this animal in any sort of breeding, or cruelty. You will love and care for this animal for the rest of its life, and you are ready to commit to that. You also agree, that if for any circumstances you can no longer provide love and care for this or any other animal, you will contact Star's Rat Rescue immediately!
I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
Adopter's Signature
*
Signature date
*
Thank you for taking the time to submit this form. Please feel free to contact Star's Rat Rescue.
Submit (thanks!)
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