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Adoption Application
Guinea Pigs
Available for Adoption
Adoption Application
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Intake Form
Name
*
Name
First
First
Last
Last
Phone
*
Email
*
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
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Delaware
District of Columbia
Florida
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Date of Birth:
*
Age:
*
Are you rehoming a pet or surrendering an animal you found?
*
A pet
Found animal
Was this animal previously adopted from Penny & Wild Smalls of South Florida?
*
No
Yes
Will you be fostering until an adoptive home is found?
*
No
Yes
Are you able to pay the $100* Surrender Fee at this time? *this fee is per animal and is non-refundable
*
Yes
No
Select Species:
*
Rabbit
Guinea Pig
Other
Other
Rabbit:
*
Single
Bonded Pair
Bonded Trio
Other
Other
Guinea Pig
*
Single
Bonded Pair
Bonded Trio
Other
Other
Rabbit(s) Information
*
Name, Gender, Age, Weight, Breed
*if multiple rabbits / groups, please specify name, gender, age, breed, weight, who is bonded.
Guinea Pig(s) Information
*
Name, Gender, Age, Breed
* if multiple guinea pigs / groups, please specify name, gender, age, breed, who is living together
Upload a picture of the animal(s) being surrendered.
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
*if multiple submit individual pictures of all
Upload a picture of the current housing / enclosure.
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Upload a picture of the supplies you are currendly using:
*
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
* include hay, pellets, litter, treats, supplements, toys, etc.
Are they spayed / neutered?
*
Yes, date / location:
Yes, date / location:
No
I don’t know
Do you have a medical record or document certifying that the animal is spayed / neutered?
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Have they been seen by a veterinarian in the last 6 months?
*
Yes. Date of last visit:
Yes. Date of last visit:
They have been seen by a vet but over 6 months ago. Date of last visit:
They have been seen by a vet but over 6 months ago. Date of last visit:
No, this animal has never been to the vet.
Where?
*
Upload medical record
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Please select all that apply:
*
Good with other animals (please specify cats, dogs, rabbits, etc.)
Good with other animals (please specify cats, dogs, rabbits, etc.)
Good with kids (please specify ages)
Good with kids (please specify ages)
Afraid of other animals (please specify)
Afraid of other animals (please specify)
Aggressive (please specify if with animals, kids, people, etc.)
Aggressive (please specify if with animals, kids, people, etc.)
Medical Condition
Medical Condition
Other
Other
None of the above
To help us make the best possible match with a foster or forever home, please let us know of any habits or needs, good or bad, that we should know about:
*
I authorize Penny & Wild to request medical records pertaining to the animal(s) from my veterinarian(s).
*
*write N/A if this animal has never been seen by a vet
I certify that I am the rightful owner of the animal(s) who is/are the subject of this Intake Form and no other person has a right of property to the animal.
*
I hereby surrender property rights of the animal(s) to Penny & Wild Smalls of South Florida. I understand that once I relinquish the animal, the animal will not be available to be returned or adopted by me and I will not recieve updates on their status at any point.
*
Submit
