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Adoption Application
Adoption Application
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Adoption Applications
date_time
id
First Name:
Last Name:
Email Address:
Phone Number:
Physical Address
City
State
Zip Code
Are you applying to adopt an available animal on our current rescue list?
No
Yes
Rescue Animal Interested in:
Which animal are you interested in adopting?
Please select
Asmodeus
Bowser
Butter
Charmander
Grumpy, One of the Seven Dwarves
Molly
Nagini
Sid the African SIdeneck
Sleepy
Tenshi
Waitlist Information
Which animal type you interested in adopting?
Please select
Amphibian
Insect or Arachnid
Lizard
Other
Snake
Turtle or Tortoise
Which animal species are you interested in?
Please select
Why do you want to adopt this animal?
When could you pick up this animal? Please describe your schedule
Please describe in detail the enclosure you currently have set up for the animal, including any equipment you plan to use.
What diet will you feed the animal?
Have you kept this species before? Please describe your experience or research in this species.
Do you currently have any other pets, including dogs, cats, or other reptiles? Please describe.
Have you adopted from us before?
Yes
No
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If you find yourself unable to care for the animal, please tell us what you would do in this circumstance:
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I Agree
I understand that I can only adopt if I am 18 years of age or older.
I am 18 Years old, or older.
By signing this digital application, I understand that my digital signature is as binding as a physical signature. I understand that by signing, I agree to the terms and conditions listed in this application, and that this does not approve me for adoption.I understand that a member of the Georgia Reptile Society (GRS) adoptions team will contact me to inform me if my application was approved. I will not be liable to adopt said animal by submitting this application, nor is the GRS obligated to adopt said animal to me.
Submit Application
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