Adoption Application – Small Animal Rock

Full Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone *

Email Address *

Are you aged over 18 *

YesNo

Previous Experience with small animals? *

What animals (large & small) are currently in your home? *

Have you ever been accused of cruelty to animals? *

Have you ever surrendered an animal to a shelter? *

Why do you want to adopt through Max Cavie's Guinea Pig Haven? *

Do you understand that you will need to provide an appropriate cage, approved bedding, water bottle, and all food including hay, pellets, and fresh veggies. *

YesNo

Do you have a Vet? *

YesNo

If so, what's your Vets details?

How many adults live in your home? *

How many children live in your home or visit more than once a week? *

Please describe your home (number of rooms) and the area where the adopted animal(s) will be kept. *

Does anyone smoke within your home? *

YesNo

Does anyone practise work or hobbies inside the home that could expose the animal to toxic fumes? *

Is your area for housing small animals free from windows and drafts? *

Do you have any questions or concerns to discuss with Max Cavie’s Guinea Pig Haven? *

Please confirm that all of the above information is correct and complete. For the good of the animals, if any information is found to be incomplete, dishonest or misleading, the application will be denied. *I confirm the information in accurate and complete.