PLEASE RETURN THIS FORM VIA EMAIL after answering ALL questions in as much detail as possible. You will need to copy and paste it into the body of an email message and type in your answers, or paste it into a word processor program, type in your answers, save the file (in doc, docx, txt, or rtf format) and attach it to an email message.  Please do not save the file in pdf format, as we may need to edit and add to it, following discussions with you.   

 

Pet Rat Adoption Application                          

 

Full Name:

 

Full Mailing Address (including City, Province or State and Postal Code):

 

 

Phone:  (home)                         (work)                         (cell)

 

Most frequently used email address:

 

Are you over the age of 18?           (if not, please be aware that a parent or

guardian must sign the Adoption Contract and assume all responsibility.)

 

Please describe what type of rat/rats you are looking for.(sex, color, marking, coat type, ear type,

eye color etc) as well as listing any physical characteristics you definitely do not want in a rat:

 

 

 

If none are currently available would you like to be put on our waiting list?

 

Are there children in the household?

If yes, what are their ages?

 

Does anyone in your household suffer from pet allergies?

 

Are all members of your household aware that you are applying to adopt a rat/rats?

And do they agree with your plans?

 

Do you rent or own your own home?

If you rent, or if you live in a condominium or co-op, are you allowed to have pets?

List restrictions, if any:

 

 

May we contact your landlord to verify this information?
Landlord's name/phone number:

 

Are you planning on moving within the next few years? If so, what will you do with the rats?

 

 

What other pets do you currently have, including other rats? (type/ages):

 

 

Have you ever had to find a new home for one or more of your pets in the past? 

If so, please explain the circumstances:

 

 

 

Have any of your pets died, especially rats that youíve had in the past?  If so, please explain the

circumstances

 

 

 

Why do you want a rat/rats?

 

 

In what part of your home will the rat/rats live?

 

 

Will the rat be housed with other rats or alone?

 

What do you plan to feed your rat /rats?  If using a commercial food, please specify type and

brand.  If feeding a homemade diet please specify type and/or list the ingredients:

 

 

 

Will your rat/rats be caged at all times, free ranged, or both?

 

If caged, what type of cage will you be using?  Please state type and brand:

 

 

Please give dimensions of height, width, and depth, including additional levels or shelves and

provide the brand name if known.  Attaching a photo of your set up would also be helpful:

 

 

What bedding or litter do you plan to use? Please specify the brand, or brands, and types:

 

 

If free ranged, all or part of the time, what precautions will you take with their environment
to prevent injuries or escapes?

 

And how much time will your rat spend outside of the cage?

 

How much of your time, per day, will be allotted to providing your rat/rats with care and attention?

 

 

What sorts of toys and accessories will you provide for your rat/rats?

 

 

How many months or years do you expect to have your new rat/rats?

 

Do you plan to breed your rat/rats?

If so, what are your breeding plans?

 

Have you bred other rats in the past?

If so, please provide details:

 

 

Are you willing and able to provide standard and emergency vet care, if needed?

Do you currently have a vet who is experienced with rats?

If yes, please provide the vetís name and phone number:

 

 

If no, please provide the name and phone number of a vet who has treated other animals for you:

 

 

If for any reason you are no longer able to keep this rat/rats, will you agree to either return them

or let us re-home them for you?

 

Please add any additional comments you would like to make about the home and environment you plan

to provide for your rat/rats:

 

 

Please add any additional questions you might have:

 

 

Please return this form according to the instructions above.