Please contact us and we will send you an application to fill out.

The Serpent Sanctuary, a project of S.E.E.

Adoption Application

 

Date:  ____________________

Applicant’s Information

Name:  ________________________________________________________________________________________

Address:  ___________________________________________________________________ Apt #:  _____________

City:  _______________________________________________________ State:  ________ Zip:  ________________

Email:  ________________________________________________________________________________________

Home Phone:  ________________________________ Other Phone:  ______________________________________

Are you over the Age of 18?  _____________ If not, you will need a Parent or Legal Guardian present to adopt an animal and sign adoption contract.

Housing information:

Do you own or rent?:  _______________ 

If you rent, please provide us with your land lord’s name: ________________________________________________

Phone number:  __________________________  Or you can provide us with a copy of your lease stating you are allowed to have animals in your home.



Animal’s Information

Name:  _____________________________________ Booking Number:  __________________________

Species:  _____________________________________________________________________________

Some reptiles can live up to 25 years or longer.  Are you willing to care for the reptile for the rest of its life?  Y  N

 

Please answer the following questions truthfully and to the best of your knowledge.  We will use the information below to help us decide if you can provide a suitable, permanent home for one of our rescued animals.

Do you currently own any other reptiles?  Y  N   If so, please list species you currently own:  ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Have you owned reptiles in the past 5 years?  Y  N   If so, please list species and what happened to them:  ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Do you have a proper habitat for the reptile you are interested in adopting including UV, basking lights etc.?  Y  N Please describe the habitat: ____________________________________________________________________________________________________________________________________________________________________________________________________

Have you ever surrendered a reptile to an animal shelter or other reptile rescue?  Y N If so, please explain why:  _______

__________________________________________________________________________________________________

If you can no longer care for the reptile, are you willing to release the reptile back to the Serpent Sanctuary without asking for compensation or contact the Serpent Sanctuary when you plan on rehoming the reptile?  Y  N

Are you aware of any local ordinances in your area concerning reptiles?  Y  N

If adopting an iguana, Please answer the following questions:

 Will you provide a proper, custom built cage at least 5 foot tall, 4 feet wide and 2 feet deep when the iguana is an adult?  Y  N

Will you feed them a proper vegetarian diet consisting of mixed greens, fruits and vegetables and not feed them iceberg lettuce and animal proteins?  Y  N

Are you aware that Iguanas can live up 25 years?  Y N Are you willing to care for the iguana for that long? Y N

Iguanas can reach up to 6 feet long and can become aggressive at times for no reason.  Do you have the ability to handle that situation? Y N

The Serpent Sanctuary, a project of S.E.E. holds the right to reject any applicant’s application for any reason.  By signing below you guarantee all information provide above is true and accurate to the best of you knowledge.  You must be at least 18 years of age to adopt or have a parent or legal guardian present at the time of adoption.

Print Name:  ______________________________________________________________________________________

Signature:  ________________________________________________________________ Date:  __________________

Office use only:      Landlord Checked:  Y N ______________________________________________________________ Approved     Adoption Date:  ___________                   Denied                 Reason:  _______________________________