Name:

Full Address:

Phone Number:

Email:

Are you over 18?

(If not, I will need to speak with your parents.)

What rat associated clubs are you a member of? (ex. RFL)

How many rats do you currently own? Ages and sexes of your current rats?

How long have you had rats and where did you get your current rats from?

Please explain where and how you quarantine new rats.

Or if you do not quarantine, please explain why.

What other pets do you have?

What type of bedding do you use or will use for your rats?

What type of cage do you have or will you be using for your rats?

(Please include cage dimensions, model, and MFG.)

What type of food will you feed your rats?

Are you adopting for Pet Only or are you looking to Breed?

(If you are looking to Breed, please fill out a Breeders Application.)

How did you hear about Azure Rats and why do you want to adopt from us?

Is this rat for you? Or a gift?

(If a gift, please include persons name and information about this person.)

e.g. rats they have, housing, etc..

Do you have a Veterinarian?

Please list your Verterinarians address, phone number, and name.

If you do not have a Veterinarian, please explain how you will medically care for the rat/rats.

What rat/rats are you interested in?

(Please include parents names of rat/rats you are interested in.)

Additional information you would like me to know about you?