Personal Information

First Name*

Last Name*

Gender*

MaleFemaleOther

Date Of Birth*

Email*

Phone Number*

Address*

Address Line 1*

Address Line 2

City*

State or Region*

Country*

Zip*

Household Information

Do you rent or own your home?*

RentOwn

Number of Adults in Household:*

Number of Children in Household:*

If you rent, do you have landlord approval to have a pet?*

YesNo

Exotic Care Preferences

Which Types of Exotic Animals Are You Interested in Rescuing?*

Reptiles (Snakes, Lizards, Turtles)Birds (Parrots, Cockatoos, Other Exotic Birds)Amphibians (Frogs, Salamanders)Large Cats (Lions, Tigers)Primates (Monkeys, Apes)Small Mammals (Ferrets, Hedgehogs, Sugar Gliders)Insects (Tarantulas, Scorpions, Exotic Beetles)Exotic FishOther

Current Veterinarian’s Name:*

Veterinarian’s Contact Information:*

Have You Worked with Exotic Animals Before?*

YesNo

Have You Received Formal Training in Exotic Animal Care or Veterinary Practices?*

YesNo

Do You Have Adequate Space to House Exotic Animals?*

YesNo

Do You Have Access to Shelter for the Animals?*

YesNo

References

Name*

Relationship*

Phone Number*

Email*

How Will You Ensure the Safety of Your Current Animals and Any Rescued Exotic Animals?*

Why Are You Interested in Rescuing Exotic Animals?*

Terms and Conditions*

I certify that the information provided in this application is accurate and complete. I understand the responsibilities and care required for rescuing and rehabilitating exotic animals and will provide the necessary time, effort, and resources to ensure their well-being.

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WordPress Exotic Animal Rescue Application Form

Personal Information

Household Information

Exotic Care Preferences

References

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