Name: 

Email: 

Address: 

City:   State:   Zip: 

Home phone:    Work phone (optional): 

Date of Birth: 

Have you owned a ferret before?   yes  no 

Have you adopted from other animal shelters?  yes   no

if yes, where?

Does, spouse, roommate, or any other adult in the household agree to this adoption?  yes  no

Do you live in a house Condominium Apartment other  if other

Do you  Rent Own

if renting or Condo, does landlord/Association approve of pets?  yes no

Can you provide a written statement if requested?  yes no

Landlord's/Association's phone:

Will the ferret
be caged when unsupervised
have free roam of the house
be housed outside

How many hours a day will the ferret be left alone? 

Who will be responsible for the care and wellfare of the ferret? 

Number of children at home:    Ages: 

Do you currently have other pets?  yes  no

If yes, what kind and how many   

If no, but have had pets before, what happened to your last pet? 

Are there any known allergies in the family?  yes  no

if yes, to what? 

Do you agree to provide medical care to promote good health?  yes  no

Are you aware that the medical expense for the life span of the ferret (6-9+ years) may run $1000 or more over and above normal maintenance and preventative medical costs?  yes  no

What veterinarian do you go to? 
telephone: 

How did you find in the Company of Ferrets? 

I have read, understand and agree to the Considerations Information Sheet and Adoption Requirements Sheet .  I understand I will be required to sign an Adoption Contract and pay a fee at time of adoption.    yes no