Rat Application Form
Date:
First Name:
Last Name:
Address:
City: State: Postal Code:
Phone:
Fax:
Email:
Best time to be reached:
Best method:
Do you rent or own? ____Own ____Rent
If you rent, are you allowed to have pets? ____Yes ____No
May we contact your landlord to verify this information? ____Yes ____No
Landlord's phone number:
Are you planning on moving within the next few years? If so, what will you do with the rats?
Do you have children? ____Yes ____No
If so, what are their ages?
Does anyone in your household suffer from allergies? ____Yes _____No
Why do you want to adopt a rat?
Have you had rats before? If so, what happened to them?
Do you plan to breed rats or other animals? If so please explain why. _____Yes _____No
Are you interested in a specific rat(s)? ____Yes _____No
If yes, what is its name/ their names? If not, please describe your "perfect" rat (e.g. color, character etc.) so that we can
help you find a good match
Please describe the caging/housing you will provide for rats
Will you allow the rats to go outside of its cage? Why or why not?
What will you feed these rats?
How many hours per day will the rats be without human companionship?
Who will be responsible for the care and cost of the rats?
Do you understand that rats need an annual vet visit and maybe additional visits during the year? _____Yes _____No
Which vet do you plan on taking the rats to (please provide name, veterinary clinic/hospital and phone number)?
If you go away, who will take care of the rats?
How often do you travel?
Please add any additional comments about the home you would provide for rescued rats:
Do you have any other pets? If so, please list them below (name, species, sex, age, neutered?)
Did you ever surrender an animal to a shelter/rescue? If so, please describe the circumstances:
Have you ever had an animal put to sleep? If yes, please describe the circumstances:
By submitting this form, you agree that all information on this application is true and complete and that you fully
understand all questions. You further understand that any falsified information will terminate the adoption process. You
authorize release/disclosure of any records relating to the above information. Rhinelander Rat Rescue reserves the
right to refuse any application they deem unsatisfactory. The completion of this application form does not guarantee
that you will be able to adopt a rat.