Humble Acres Chinchillas

Humble Acres Chinchillas

I. Personal Information:

Your name:

Home Address:

City: State: Zip Code:

Phone: Cellular (optional):

E-Mail:

Is your current residence air conditioned?:

What other animals currently reside with you?:

Do you have any children below the age of ten currently in your household?:

If yes please list their ages:

II. Chinchilla-related knowledge:

For how long prior to filling out this application have you researched chinchillas and their proper care (please list specific references)?:

Are you aware that chinchillas can live up to 15+ years?:

Are you aware that chinchillas must be kept cool during the summer?:

Are you aware that most chinchillas do not make cuddly pets for children?:

Are you aware that Humble Acres demands any chinchilla purchased from them be retured to them in the event that you are unable to care for the animal any longer, and that any resale of a Humble Acres chinchilla without prior permission represents a legal breach of contract that may be punishable by law?:

III. References:

Please list 3 personal references and one veterinary reference that we may contact to inquire about your ability to properly care for and provide love to animals which are a part of your household. If this is your first pet and you are unable to supply a veterinary reference, please indicate this face in the VETERINARY REFERENCE section. This will not hurt your chances of being approved for a Humble Acres chinchilla in any way.

PERSONAL REFERENCES:

1.

2.

3.

VETERINARY REFERENCE:

Animals they have seen:

I the applicant testify that the above information is true to the best of my knowledge and understand that the listed references will be called by a representative of Humble Acres Chinchillas. I hereby give them permission to do so.

Applicant's Name:

Date (MM/DD/YY):

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