First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Alt Email

Applicant Age*

Please list the ages of all persons living at this residence.*

Do all members of your household favor having a guinea pig?

Tell us about you and your family, and why you are interested in adopting?*

Have you ever had a guinea pig before?

Does any member of your household have allergies to animals or hay? *

Where will your guinea pig live? (ex - Indoor, outdoor, cage, exercise pen, etc)*

What will you feed your guinea pig? *

Can you commit to proper veterinary care for your guinea pig? What is your limit on vet expenses?*

Your current and/or past Vet's name and phone number. *

Personal Reference (name, email address or phone number, and relationship to you)*

Please list any pets you currently have:*

If you currently have other animals, how do they interact with small animals? *

If something were to happen to you and you were no longer able to care for your pets, what would you do with them?*

Have you ever surrendered any animals to a shelter or had to rehome a pet? If so, why?*

Which of our available pets are you most interested in?
Choose an animal: Baxter Brownie Captain Gantu Crinkle David Gigglefart Grand Councilwoman Gypsy Jumba Lilo Luca Milo Mrs. Kekoa Nani Ohana Pleakley Simba Stitch Tutu

Anything else you would like to tell us, or any other comments you may have?