Bird, Rodent, Turtle & Snake Adoption Form Not valid for dogs. We promote spay and neuter on all animals. If you have animals that have not been spayed or neutered you will not be considered. First Name: Required Last Name: Required Address: Required City: Required State: Required Zip: Required Phone: Required Cell Phone: Required Email: Required Re-enter Email: Required Veterinarian: Required Veterinarian's Phone: Required I agree to allow TRHAP to contact the vet for a reference and any information we deem helpful or needed to make a determination in the adoption process. Please contact your vet to ok the release of information to us. Please Initial: Required Whose name is listed at your vet as the pet owner for all animals in your home? First Name: Required Last Name: Required Do you rent or own? Required Own Rent If renting, your landlord's phone number: Age of Children in your Home: Required Have you ever had to surrender a dog to a shelter or rehome a dog? If so, please explain. Required Have you ever been convicted of animal cruelty? Required Yes No Full Name of a Relative Not Living With You: Required Phone Number: Required Full Name of a Personal Reference: Required Phone Number: Required Names and breeds of all dogs and cats you own: Required Please feel free to add any additional information you would like us to know about you and your home. Name of the Animal You Are Seeking: If you decide on another animal or if you are not the selected adopter, this application is still valid for another or future adoptions. You do not need to complete another application unless information has changed. ATTENTION: Please be sure the application is complete. Incomplete applications will not be considered. The completion of this application does not guarantee adoption approval. If adopter can no longer care for their adopted animal they must contact TRHAP immediately and return the animal to us If adopter wishes to rehome to a family member or someone they know, we need a new application from that individual. TRHAP will process the application to ensure a humane environment and to be covered under a new contract. The adopter agrees to contact TRHAP for the following reasons: Prior to being moved to another residence. If the adopted animal(s) becomes deceased. If the adopted animal(s) becomes seriously injured or ill. It is the adopter's responsibility to pay for transport of the adopted animal back to The Road Home Animal Project. All costs upon departing and while in the adopter's care are to be paid by the adopter, including return transportation. TRHAP is not responsible for any accidents or injuries either to the animal, adopter or anyone else after leaving our facility (or the facility of the foster/volunteer housing the animal). Prohibited Uses:Adopter agrees that under no circumstances shall the adopted animal be used for breeding purposes.If an animal you adopt is pregnant at the time of adoption, the baby/babies automatically attach to this contract and cannot be sold. If the adopter does not wish to keep the baby/babies, they shall be returned to The Road Home Animal Project following weaning. The adopter agrees that a representative of TRHAP may make unannounced visits at any time to any location where the animal is located for confirming that the care required in this contract is being provided. The adopter agrees to hold harmless The Road Home Animal Project, its volunteers, foster care providers, owners of the animal, former owners and directors for any damage or injury caused to any person or property by the animal. The adopter is advised to obtain appropriate liability coverage, as The Road Home Animal Project will not be responsible for liability. If TRHAP becomes aware that the animal adopted is not being adequately cared for or becomes aware of a breach of any of the provisions of this contract, TRHAP maintains the right to immediately and without notice, repossess the animal(s) and maintains the right to enter whatever premises are necessary to affect such repossession. I have read an acknowledge to follow the above rules. (Please Initial) Required By signing, I have read and agree to all terms in this agreement. Please sign below: Required Date: Required