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Guinea Pig Adoption Application
Adoption Application | Guinea Pig
Are you 18 or older?
*
Yes
No
STOP! If you are NOT 18 or older, please write your name, phone number and email below and have one of your parents complete the remainder of this form.
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Name: Phone: Email: Date of Birth: mm/dd/yyyy
Are you 18 or older but living with / dependent on your parents?
*
Yes
No
If you are living in your parent’s home / dependent on your parents, they will need to agree to and participate in the adoption. Please write their names, phone numbers, and emails. They will need to agree to and participate in the adoptin process.
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Name: Phone: Email:
Name
*
Name
First
First
Last
Last
Age
*
Date of Birth (mm/dd/yyyy)
*
Phone
*
Email
*
Associated people:
*
* Include the name, phone number and email of any additional applicant or “N/A” if none.
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Why are you interested in adopting a guinea pig?
*
Do you rent or own your home?
*
Rent
Own. Property owners name:
Own. Property owners name:
I understand I will need to provide a “pet addendum rental agreement” or written consent signed by my landlord.
I understand
Do you live alone?
*
Yes
No
Please list everyone currently staying in your home (including minors and roommates), their ages and their relationship to you:
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I understand that guinea pigs are small, fragile pets that may not be suitable for children under 12 or inexperienced owners. As prey animals, they can be shy and generally do not enjoy being picked up or carried for long periods. They can bite or scratch or be severely injured if not handled correctly.
*
* Type “I Understand” to indicate you have read and understand the above OR let us know if you have any questions.
Describe your household’s daily and weekly schedule.
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One a scale of 1 to 10 how high is the “energy” level of your home?
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1
2
3
4
5
6
7
8
9
10
One a scale of 1 to 10 how high is the “noise” level of your home?
*
1
2
3
4
5
6
7
8
9
10
Who will be the primary caregiver(s) that will be cleaning the enclosure, feeding, brushing, trimming nails, playing, and providing enrichment?
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Is the primary caregiver 18 or older?
*
Yes
No
Who will supervise to make sure that the care is performed and/or responsible for taking over if the caregiver is not able?
*
What will happen to the guinea pigs when the primary caregiver begins college or moves out?
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Who will be financially responsible for the cost of food, supplies, and veterinary care (est. $750-1,500 per year)?
*
Do you use air fresheners, plug ins, diffusers or incense?
*
Yes. Please specify:
Yes. Please specify:
No
Unsure
Does anyone in your home smoke or vape?
*
Yes. Please specify:
Yes. Please specify:
No
Unsure
Do you use air fresheners, plug ins, diffusers or incense?
*
Yes. Please specify:
Yes. Please specify:
No
Unsure
Has your family ever had to surrendered or given up a pet?
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Yes
No
What were the circumstances?
*
If you are human, leave this field blank.
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