Adoption Application

Applicant Details

Your Name*

First Last

Your Email Address*

Email Address Confirm Email Address

Your Phone*

Your Address*

Street Address Address Line 2 City ZIP Code

Are you applying to adopt an available animal on our current rescue list?*

Yes

No

Rescue Animal Interested in

Which animal are you interested in adopting?*

Which animal type you interested in adopting?*

What species of amphibian are you interested in?*

What species of insect/arachnid are you interested in?*

What species of lizard are you interested in?*

What species of snake are you interested in?*

What species of turtle/tortoise are you interested in?*

Why do you want to adopt this animal?*

Home & Personal Background

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

Animal Safety & Agreement

What veterinarian do you plan to use, if the animal is in need of care?*

Click Here to view a list of our recommended veterinarians.

If you find yourself unable to care for the animal, please tell us what you would do in this circumstance*

Signature*

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.

Date*