GRR - Adoption Application

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Email *

First and Last Name *

Street Address *

City *

Province *

Postal Code *

Phone Number *

Please check all that apply. *

I am at least 18 years of age

I am a Galaxy Reptile Rescue Volunteer

I prefer to communicate in French

I will be the primary caregiver of this pet

This pet is intended for a child

Everyone in the home is in agreement to getting a new pet

Someone in my home has a pet-related allergy

Required

Please answer the number of household members and their ages, below. *

My home is best described as... *

Fairly quiet

Moderately active

Busy or boisterous

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