Maxman Reptile Rescue

MaxMan Reptile Rescue Reserves the Right to Reject Adoptions

MaxMan Reptile Rescue

Reptile Adoption Application

Your responses to the following questions are kept strictly confidential. The purpose of this application is to ensure that all reptiles are placed in good homes that are capable of giving the highest quality of care.

References are required, so please advise veterinarians, etc of your permission to provide reference and information. Thank you.

Are you over the age of 18? YN

If not, you must have a parent complete this application

Have you ever applied to adopt an animal before? YN

If yes, when, and with what organization (provide name and number)? ______

What is the disposition of the animal(s)? ______

Is your home: owned _____, rented ____, apartment ______, other______

Does your landlord allow pets? Y N

Name and full address/phone of landlord______

Your Address and Phone Number ______

______

Do you presently own other pets? YN

Please list all: ______

What is your means of support?

Employment______, Social Assistance______, Pension______, Other______

Have you ever owned a reptile(s) in the past?YN

Please list and what happened to the reptile? ______

______

Are you fully aware of the specialized needs of reptiles, based upon the individual species? YN

Are you fully aware of bacterial transmissions unique to reptiles and willing to maintain high standards of hygiene to prevent any transmissions of such bacteria between pets and to other occupants and pets in the house? Y N

Can you afford and are willing to accept the cost of regular veterinary checkups, specialized foods and medical emergencies? Y N

Can you afford the initial cost of providing adequate specialized secure housing, heating and lighting supplies and any other required accessories necessary for this particular type of reptile? Y N

Are you willing to seek out and provide only a qualified reptile veterinarian for this reptile?YN

(Please be aware that not all “exotics” vets are qualified/prepared to work on reptiles)

Are you willing to continue researching and educating yourself and family on the proper care and welfare for this reptile, as new information becomes available? Y N

Do you have the extra time to provide patient handling and training for this reptile?YN

Are you currently a member of any reptile hobbyist group?YN

Which? ______

Are you willing to join such a group to expand your knowledge?YN

Do you currently have a suitable, secure, ESCAPE PROOF enclosure for this reptile?YN

If so, please describe in detail. Use additional paper if needed. Photos are accepted and preferred.

______

What will you do with this reptile while you are on vacation, out of town or hospitalized?

______

Please describe your reasons and/or interests in owning this particular type of reptile?

Please give a brief summary of your current knowledge of this type of reptile. (Ie. Diet, housing requirements, life span, etc) Use additional paper if needed

Please provide the name and contact information of your current or recent (reptile) veterinarian?

Please list at least two other references, with name and numbers? (Someone familiar with your ability with animals, such as pet stores, Reptile hobbyists, etc)