Please Tell Us About You:

Today's Date:

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Primary Email:

Secondary Email:

Occupation:

Work Phone:

Name of Employer:

Length at Employer?

Spouse's Occupation:

Spouses Work Phone:

Spouse's Employer:

Length at Employer?

Where did you first hear about us?

Petfinder.com Craigslist.org ABRN Local Shelter Family Member/Friend Adoptapet.com Search Engine Breeder WCA

Your Pets:

Have you owned pets before?

Yes No

If yes, list the kinds and numbers you have owned in the past seven years:

If no, why do you want a pet now?

Do you still have the pet's) listed above?

Yes No

If not, why not and what happened to the pet's)?

What pets do you currently own? List kinds and numbers of each:

Are they spayed or neutered?

Yes No

Why do you want to Foster a Guinea Pig?

Have you owned a Guinea Pig before?

Yes No

How have you educated yourself about Guinea Pigs?

Will this guinea pig be adult supervised?

Yes No

Please list your preference regarding the following:

Sex of Guinea Pig:

Male Female No Preference

Type of Guinea Pig:

Smooth Coat Long Coat

o   Behavior Need     Shy

No Preference

Minimum Age of Guinea Pig You Would Consider:

Maximum Age of a Guinea Pig You Would Consider:

Are you applying for a Guinea Pig  currently listed on our website (if so, please list name)?

Will you consider something other than your stated preference?

Yes No

We occasionally receive bonded pairs of Guinea Pigs. Would you consider adopting a pair who need to stay together?

Yes No

Would you consider and feel equipped to spend the additional time  with 'special needs' Guinea Pig such as one suffering from separation anxiety, or other health or behavioral issues?

Severe Moderate Mild None

Please list family members and ages of children:

Do you Rent or Own your home?

Rent Own

If you are renting, does your lease specifically allow for this pet, or multiple pets?

Yes No Not Applicable

How long have you lived at your current address?

Where will you keep the Guinea Pig  during the day?

Where will you keep the Guinea Pig during the night?

Where will you keep the dog during family absences overnight?

Do you have Air Conditioning?

Yes No

If not, how do you intend to keep the Guinea Pig cool?

Will you feed fresh fruits/veggies daily?

Are you located in Aurora?

Do you object to a home check as required by the State of Colorado?

Will you have the Guinea Pig out at least an hour a day?

Yes No

Do you have your own cage or will you require one?

Yes No

 ?

Yes No

Does anyone in your house suffer from allergies?

Are you willing to attend obedience classes with your dog?

Yes No

Have you ever trained a dog before?

Yes No

Have you ever surrendered a pet of yours to a shelter or rescue group?

Yes No

If yes, why?

Have you ever sold or given away one of your pets?

Yes No

If yes, why?