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Adoption Application
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Boarding Request From
This is a request form, it does not guarantee booking. You will recieve an email within 48hrs to confirm if we are able to accept your booking.
*
I understand
Name
*
Name
First
First
Last
Last
Phone
*
Email
*
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
Date of Birth
*
Age
*
Driver License or Florida ID
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
* upload a picture of your driver license or email it to info@pennyandwild.org
I understand that a valid Florida ID will be required prior to any bookings.
*
I understand
Have you ever adopted / fostered or applied to adopt / foster for Penny & Wild?
*
No
Yes, please specify
Yes, please specify
Start Date
*
Drop Off
*
Morning (8AM – 12PM)
Afternoon (12PM – 5PM)
Evening (5PM – 9PM)
Other
Other
End Date
*
Pick Up
*
Morning (8AM – 12PM)
Afternoon (12PM – 5PM)
Evening (5PM – 9PM)
Other
Other
Species
*
Rabbit
Guinea Pig
Other
Other
Rabbit(s)
*
Home Visit ($25/visit)
Boarding Single ($35/day)
Boarding Bonded Pair ($45/day)
Boarding Bonded Trio ($55/day)
Boarding + Bonding ($45/day)
Boarding Multiple Groups
Boarding Multiple Groups
ADD ON Pick up / Drop off ($25/trip)
ADD ON Nail Trim ($15)
ADD ON Medication Administration (please specify)
ADD ON Medication Administration (please specify)
ADD ON Supplemental Feeding (please specify)
ADD ON Supplemental Feeding (please specify)
Rabbit(s)
*
Name, Gender, Age, Weight, Breed
*if multiple rabbits / groups, please specify name, gender, age, breed, weight for all and who is bonded.
Upload a picture of your rabbit(s)
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
*if multiple rabbits include individual pictures of all.
Upload a picture of your rabbit’s room and/or enclosure
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
*Entire room and/or enclosure and litterbox setup should be visible.
Upload a picture of the supplies you are currently using
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
*this should include: hay, litter, pellets, treats.
Are they spayed / neutered
*
Yes, month/year
Yes, month/year
No
I don’t know
* being spay / neutered is not required and will not affect eligibility to board.
Where?
*
Are they vaccinated?
*
Yes, month/year
Yes, month/year
No
I don’t know
* being vaccinated is not required and will not affect eligibility to board.
Where?
*
Guinea Pig(s)
*
Home Visit ($25/visit)
Boarding Pair ($25/day)
Boarding Trio ($35/day)
Boarding Multiple Groups
Boarding Multiple Groups
ADD ON Pick up / Drop off ($25/trip)
ADD ON Nail Trim ($15)
ADD ON Medication Administration (please specify)
ADD ON Medication Administration (please specify)
ADD ON Supplemental Feeding (please specify)
ADD ON Supplemental Feeding (please specify)
Guinea Pig(s)
*
Name, Gender, Age, Weight, Breed, Spayed/Neutered
*if multiple groups, please specify name, gender, age, breed, weight, if they are spay / neutered for all and who is living together.
Upload a picture of your guinea pig(s)
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
*if multiple guinea pigs include individual pictures of all.
Upload a picture of your guinea pig’s habitat / setup
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Upload a picture of the supplies you are currently using
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
*this should include: hay, litter, pellets, treats, supplements.
Select Location
*
Miami Beach / Edgewater
North Miami / Ojus
Deerfield Beach
Coral Springs
Other
Other
* we are only able to provide Home Visits to the above cities at this time. If you would like to request services in another city please select other and specify.
Diet
*
* describe their daily diet. Please specify how much veggies, greens, pellets, fruits you are currently feeding. Feeding times.
Have they been seen by an exotic vet in the last 3 – 6 months?
*
No
Yes. Date
Yes. Date
Veterinarian
*
* write N/A if this animal have never been to a vet.
Are there any known or suspected diseases or behavioral issues?
*
No
Yes, please specify
Yes, please specify
Medical Record
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
* upload a copy of your animals medical records
How did you hear about us?
If you are human, leave this field blank.
Submit
