Coastal Creatures Adoption Inquiry Form

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Adopter Information

Full Name: _________________________________________________

Phone Number: _____________________________________________

Email Address: _____________________________________________

Physical Address: ___________________________________________

City: ____________________ State: _______ ZIP Code: ___________
 

Animal Preference

Species Interested In (check all that apply):
[  ] Gecko        [  ] Frog/Amphibian       [  ] Snake (Hognose/Ball)

[  ] Axolotl      [  ] Invertebrate               [  ] Chameleon

[  ] Anole       [  ] Bearded Dragon        [  ] Turtle/Tortoise
 

Experience & Environment

Have you owned this type of animal before? [  ] Yes  [  ] No

Do you currently own any reptiles/amphibians? [  ] Yes  [  ] No

If yes, please list species and ages: ______________________________________

Describe the habitat you plan to provide: __________________________________
_____________________________________________________________

Can you provide a photo of your current setup or planned habitat? [  ] Yes  [  ] No
 

Veterinary & Care Info

Do you have a reptile/amphibian vet? [  ] Yes  [  ] No

If yes, Vet Name/Clinic: ___________________________________________

How many hours per day will the animal be alone? ____________________

What will you do with the animal if you move or can no longer care for it?
_____________________________________________________________

Do you agree to return this animal to Coastal Creatures if you are unable to care for it in the future? [  ] Yes  [  ] No

Would you be open to being contacted for educational stories or testimonials? [  ] Yes  [  ] No
 

Acknowledgments

I certify that the above information is accurate and understand that submitting this form does not guarantee approval of adoption. Coastal Creatures reserves the right to deny adoptions based on evaluation criteria and animal welfare standards.
 

Signature: ___________________________________ Date: _____________