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*Please Review "Adoption Information" Before Filling Out This Form
Incomplete forms will be discarded

Name:

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Phone Number:

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Email address:

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City/State:

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Do you currently have any rats? If so, what are their sexes and ages? If not, have you owned rats in the past?

Do you plan to breed the rat(s)?

Describe the cage you have or plan to use. Please include dimensions.

What bedding do you intend on using?

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What food do you plan to feed?

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Please specify which rats or rat you are interested in:

Do you have a vet that specializes in rats? Please list the vet's name/location.

Any questions or comments?