Please answer the following questions to apply to adopt a guinea pig. We try to ensure the best possible match between animal and adopter. Remember that this is a lifetime commitment. You will be asked to sign a legal contract when adopting a guinea pig and you must pay an adoption fee. The adoption fee various based on the organization, but is generally about $35.00 / per animal. This fee helps cover the cost of any vet care, including spaying or neutering.

Keep in mind the following points:

• Guinea pigs must be housed indoors only.
• You must provide the guinea pig with a large enough cage. Review this link for recommended cages and cage sizes.
• Guinea pigs live an average of 5-8 years. We are looking for those special adopters who will make every effort possible to keep their companion for the entire life of the guinea pig despite lifestyle changes (divorce, moving, etc.)
• Guinea pigs may not be adopted as gifts.
• You must agree that you will not breed the guinea pig.
• We do NOT adopt guinea pigs to children. We DO adopt guinea pigs to families. Parents must fill out this application and sign the adoption contract. Applicants who under 18 yrs of age or who are living with parents must have a parent or legal guardian apply on their behalf.



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Tell Us about Yourself: Please complete the entire application as incomplete applications will NOT be accepted
Name:
Address:
City:	State: Zip:
Telephone:
Applicant Age:	18 years or older:
Email Address:
(This is how we contact you -- please be accurate)
Living Area:	House Condo Mobile Home Other
Please select all that apply:	Own: Rent: Rent w/roomates: Living w/parents: Student: if renting, does your landlord allow pets: Yes No
List all human member of household and ages of children:
If children are in the household, what will be their role in caring for the guinea pig:
Does anyone in the household have allergies to animals	No Yes If yes, please describe:
Tell Us About Your Pets (Current and Past)
Do you curently have any pets?	No Yes If yes, please describe. Include all pets, types, age, sex, spayed/neutered. Specify where they are kept and how long you have owned them.
Name of Vet, City, Phone (if Applicable):
Is this an exotic vet:	Yes No
Are you aware of the costs involved for regular vet care?	Yes No
List all pets no longer owned for the past 5 years. Include type, age, sex, how pet was obtained, and why you no longer own the animal:
Have you ever surrendered an animal to a shelter?	No Yes If yes, describe the circumstances:
Are you planning on moving soon?	No Yes If yes, when?
Who will be the primary caregiver for the guinea pig?
Is there a particular guinea pig(s) you're are interest in adopting? (not required)
Reason for wanting to adopt a guinea pig:
How much time will have have to spend with the guinea pig and describe how frequently the guinea pig will be held and taken out of its cage:
What will you do with the guinea pig when you go on vacation?
Do you already own a cage?	No Yes If yes, describe it:
Describe where the guinea pig cage will be kept:
While not required for an adoption, a home visit is often part of our adoption process. Would you object to a home visit?	No Yes
Have you applied or adopted a guinea pig from us before?	No Yes If yes, please describe:
How did you hear about MDGuineaPigs?	Personal Reference Website Link Search Engine Other