Furrylovables

   

Chinchilla Adoption Application

Furrylovables Chinchilla Rescue

1305 Widows Road

Wilmington Il 60481

815-476-2641

 

Name of chinchilla you are interested in:

 

First Name                                                   Last Name

 

Street Address

 

City                                                    State                         Zip Code                     Phone Number

 

 

Do you:  Own your home or rent?

 

Employers name:

Street Address:                                                                              City:                                       State:

Phone:

 

Do you have any children?

Ages:

Any allergies to pets or bedding?

 

List any animals at home:

Name	Breed	Sex	Spayed or Neutered	Age

Veterinarian Name and Phone:

 

Why do you want a chin?

 

Please list 3 references with phone numbers:

 

1.

 

2.

 

3.

 

Do you understand all the needs of chinchillas?

 

I hereby acknowledge receiving from Furrylovables Chinchilla Rescue the described animal

_________________________________and in consideration therefore, I agree to keep in my possession, and care for it humanely. I agree to see that this animal has sufficient food, and fresh water daily according to its needs: to see that is has adequate shelter to maintain its heath; and to see that is had medical attention when needed. I further agree to assume full responsibility for this animal, and if for any reason, I find that I am unable to keep it, or provide the proper care, I will return the animal to the custody of Furrylovables Chinchilla Rescue, without refund of money.

 

Signed: _____________________________________

 

Date: _______________________________________