Lola's Landing Animal Rescue Inc. © All rights reserved
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Reptile Application
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Are you financially prepared to handle a medical emergency if necessary?
*
Yes
No
What type of home do you live in?
*
House
Apartment
Condo
Mobile Home
Townhouse
Military Housing
What is the name of the reptile you are interested in?
*
Do you rent or own?
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Rent
Own
Are you committed to taking full responsibility of your pets health? Including finding an exotic vet if necessary?
*
Yes
No
If you rent, what is the property owners name and phone number?
*
Are you currently employed? If not, what is your source of income?
*
Give two personal references. If no vet reference, add a Third Personal reference.
*
List all veterinarians you have used and their contact information.
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Email
*
Check here to receive email updates
Name and Address
*
I understand that once the adoption paperwork is complete that I am fully responsible for the health and welfare of the animal
*
Yes
No
Are you aware of what this reptile needs to be properly taken care of? Please explain.
*
Phone
*
Are you willing to commit to an animal that could live 10 or more years?
*
Yes
No
Have you ever adopted from another rescue? If so, please provide rescue(s) name and phone numbers.
*
I understand the adoption fee is non-refundable
*
Yes
No
Thank you for contacting us! If needed, you will hear back within 48-72 hours.
Reptile Application
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