Part I: You and Your Household

Name: _______________

Age: _______________

Email: _______________

Phone: _______________

City/State: _______________

Are you Over 18? (circle)

Yes No

If no, do you have a parent/guardian’s permission to own rats?

Yes No

What type of Dwelling do you live in?

House

Apartment/Condo/Duplex

And do you

Own Rent

If you rent, do you have your landlord’s permission to keep rats?

Yes No

Are there any children under 18 in your home? If so, how many and what are their ages?

________________________________________________________________________

Do you own rats currently or have you owned them? (If so, how many, and what are their genders/ages.)

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What other pets do you own?

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Do you or anyone in your house suffer from allergies, have a fear of rats, or have some other concern or condition that needs to be addressed concerning rats? (Explain)

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Part 2: Rat Care/Concerns

(If unsure about anything, write your thoughts and I can give you suggestions/recommendations!)

What type of cage do you keep/will you be keeping your rats in?

________________________________________________________________________

What type/brand of litter/bedding do you/will you use?

________________________________________________________________________

What do you/will you feed your rats? (Regular diet and treats)

________________________________________________________________________

What other toys/accessories do you have for your rats?

________________________________________________________________________

How much time will you spend playing with your rats every day? __________________

Do you have a vet who can treat rats if needed?

Yes No

If not, would you be able to find one in an emergency?

Yes No

Are you familiar with common health problems (and costs) and quarantine procedures?

Yes No

If you are under 18, are your parents willing/able to spend extra time/money on your rats if needed?

Yes No

What are some rat books and websites you have read or use as a source of care information?

_______________________________________________________________________

_________________________________________________________________________

__________________________________________________________________________

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Do you have any other questions/concerns/comments about rat care? (Explain)

________________________________________________________________________________

_________________________________________________________________________

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Part 3: Preferences

How many rats are you looking to adopt?

1 2 More than 2

This rat (these rats) will be: (Circle all that apply)

Pets Shown Bred

Other (Explain:___________________)

Notice: None of these rats are to ever be used as food for another animal or any type of experimentation, nor are they ever to be sold/given to a pet store, shelter, or anyone who will not meet their physical and mental needs as pets. Also, if you wish to breed, we need to discuss it further (your experience, plans, resources, etc.).

What gender would you like?

Male Female Either Unsure

Is there a particular rat or litter (current or planned) you are interested in? (If so, please tell me which.)

________________________________________________________________________

Any preferences for color/type/variety?

________________________________________________________________________

Add any other comments questions here:

___________________________________________________________________________________

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If you are under 18, please have a parent/guardian sign below:

_________________________________________________

(If you are filling this out via email, please have your guardian contact me at spark13@hotmail.com)