Preadoption Form

Name:    Age:    You must be at least 18 years old to adopt.

E-mail:

Home Phone:    Cell phone:

Which do you prefer to be contacted at?    And is there a time?

City of primary address:   Zip:   Cavy Care Inc does not adopt to out of state residents.

Please answer the following questions as completely as possible:

I am adopting this animal for those that apply:
Myself   A Child   Family   Other

The primary care giver will be (meaning they will make sure daily that there is clean food and water and that the cages are cleaned weekly):
Myself
A Child
Adult Supervised
My child is too young to be left with the guinea pig and its for me

What will you do to make sure the animal(s) are safe and will not be left unattended?

What happens when the child loses interest in caring for this animal? Guinea pigs live up to eight years or more. Where will your child be at that time if you are adopting for a child? If they lose interest in a year, are you going to be the sole care taker for the next seven years?
It will become a family pet.
It will be returned to your shelter.
My child won't lose interest.
It will need a new home.

Please list any persons and their ages, living in the household, including roommates and students:

I desire a single, pair, male, or female. Mixed sex pair.

Please answer yes or no to the following questions:
I am getting this animal as a companion for myself:
I am getting this animal as a companion for another guinea pig I may have:
I intend to use this animal for breeding purposes:
I intend to keep this animal as a classroom pet:
I am going to use this animal for show purposes such as 4-H:
Have you ever had an animal die while in your care other than from old age?
If yes please explain:
Have you ever had this type of animal before?
If no, what are you doing to educate yourself about their proper care?
Do you already have a cage?
If yes, please indicate the type:
Smooth Bottom Wire Top
Wire Floor Pull Tray
Rabbit Hutch
Outside Hutch
C&C Cage
Other
All Cavy Care Inc animals are to be housed indoors!

Do you or any of your family members have allergies? Please indicate kind if any:
Grass/Hay
Fur
Other

What other animals do you presently have?

If you have dogs please list their breeds. Please indicate if hunting breed, sporting breed, toy breed, or terrier breed, or if mixed what they are a mix of?

Have you ever had to give up an animal before for the following reasons:
Moving   Allergies   Problems with kids   Other (??)

Are you willing to get this animal verterinarian care?
Yes   No   Not Needed

Do you have a verterinarian now?
No   Yes
If yes, the name of the vet:
The practice name:
Phone Number:
Do we have permission to contact them? Please sign electronically:

How much money do you have budgeted for the weekly care of this anima?
$0-$50
$50-$100
$100-$150
$150-$200
No limit
Whatever the veterinarian feels is necessary for quality of life

Do you:Own or Rent?
Do you anticipate moving soon? Please answer yes or no:
Finally, where will their cage be kept?
Bedroom
Living Area
Finished Basement
Unfinised Basement
Outside
Garage
Closet
Utility Room
Sun Porch
Kitchen
Other: