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COMPANION CRITTERS, INC.
CHINCHILLA ADOPTION APPLICATION

The following information is requested so we can assist you in the selection of a new pet.  The animal's welfare is our foremost concern.  The consultation process is designed to help us assist you in finding the animal most compatible to your lifestyle.

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Animal Interested In:

The reason I want this particular pet is:

Are you over 18 years of age?

I am adopting for (please X one):
     Myself
     Another person
     As a gift

I am prepared to adopt the pet (please X one)
     Immediately
     Within a week
     Within a month
     Other:  

Name:

Address:

City, State, Zip:

Home Phone:

Work Phone:

E-Mail Address:

How did you hear about Companion Critters, Inc.?

If from a newspaper, which one?

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Please complete all of the information.  By e-mailing this application, you certify that you understand the following:
     1)  Companion Critters, Inc. reserves the right to refuse adoption  to anyone.
     2)  The information contained within this application is accurate and not misleading in any way.
     3)  Companion Critters, Inc. reserves the right to contact any individual on this form.

Please give careful consideration to adopting a pet.  Animals are not toys or short term commitments.  Make sure that your lifestyle allows the time, patience and expense this pet will need over the years. Animals for adoption are placed with adopters with full consideration
given to the specific needs of each animal.

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Is this your first experience with a chinchilla?

Do you currently have other pets at home?

    If yes, please list for each pet:
    TYPE:
    BREED:
    AGE:   
    NAME:
    ALTERED?
    DECLAWED?
    VACCINATED?  
    KEPT IN OR OUT?
    HOW LONG OWNED?
    DOES THIS PET GET ALONG WITH OTHER ANIMALS?

Have you had any pets in the past?
If yes, please list for each pet:
    TYPE:
    BREED:
    AGE:   
    NAME:
    ALTERED?  
    DECLAWED?
    VACCINATED?  
    KEPT IN OR OUT?
    HOW LONG OWNED?
    WHAT HAPPENED TO THIS PET?

Have you ever taken a pet to a shelter?  
     If yes, please describe circumstances:

Under what circumstances would you find it necessary to give up your pet?

Who is/was your veterinarian?
     Name:
     Address:
     City, State, Zip:
     Telephone:
      Approximately when was your last visit?
     Under who's name (owner) are the pet's records?
     May we contact your veterinarian?

How long have you resided at your present address?

Do you currently live in a house or apartment?

Do you own or rent?
    If you rent, does your lease allow pets?
    Landlord's Name:
    Telephone Number:
    May we contact your landlord?

What would you do with a pet if you had to move where pets aren't allowed or if you were no longer able to take care of you pet?

How many people live in your household?
    Do all the adults know you plan to adopt?
    If there are any children in the household, list ages:

Does anyone in your household have any known allergies to animals?
Does anyone in your household have any known allergies to dust or hay?

A chinchilla's natural lifespan generally ranges from 10 - 20 years.  Are you fully prepared to make this kind of commitment to a chinchilla?

Do you now, and expect to have in the future, at least a half an hour per day to devote to the chinchilla's needs, both physical and emotional?  (Cage cleaning, feeding, playtime/attention)?

Will the chinchilla have supervised playtime outside the cage?  How often and for how long?

How often would your chinchilla get sand baths?

Do you realize that chinchillas are nocturnal and will be up all night playing and making noise?

Do you need a cage or do you currently have a cage suitable for a chinchilla?
If you currently have a cage, please describe: (length/height, wire mesh/galvanized wire, type of flooring, levels)

Is your home air conditioned?

Would you object to a visit or call from a Companion Critters, Inc. representative to see how you and your new pet are doing?

Do you want the chinchilla for a (X all that apply)
     house pet
     breeder
     companion
     gift
     companion for another pet

Are you familiar with what is required to properly house/feed/care for a chinchilla?

We request a minimum donation of $50 for adult chinchillas, $75 for chinchillas under 6 months of age.  The donation is to help offset the costs incurred while in foster care.  Is this acceptable?