IMPORTANT NOTICE: If you filled out this form before September 10, 2004, I forgot to include a field for your contact information. Please fill out the form once more. You already gave me your details, so just include your name & contact information, and I will get back to you ASAP.

By filling out this form, you agree that you will abide by the adoption contract. You will be required to sign the adoption contract and show one form of state-issued identification when you pick up your baby rat. If you are under the age of 18, a parent or guardian must be present at the time the baby rat is picked up, and he/she will be responsible for signing the contract and providing identification.

The Basic Information:
Your first and last name:
A way to contact you (e-mail and/or phone number):
Your age:
If under 18, first and last name of parent(s) or guardian(s):
City:
State:

Details about you, your rat, and your household:
Will you be able to pick up the rat(s) in San Jose or San Mateo, CA? If not, please explain.

Do you (or does anyone else in your household) currently have rats? If so, how many and what genders?

What kind of cage do you plan on buying for your rat(s)? I recommend a Martin's cage (http://www.martinscages.com), although there are many other good cages on the market.

What kind of food do you plan on buying for your rat? I recommend Harlan Teklad lab blocks. I purchase mine at Pet Planet on Santa Theresa & Cahalan in San Jose, CA.

What kind of beeding to you plan on buying for your rat?

Do you breed rats, or plan to breed rats in the future? If so, please provide details.

Do you or anyone else in your household own or breed any other animals besides rats? If so, please provide details.

Have you selected your rat's future veterinarian yet? If so, whom did you pick and why?

The most important question:
Please select the rat(s) you are interested in:
Chocolate Berkshire with Belly Spots, Male Black Berkshire, Female
Chocolate Hooded, Male Black Bareback with Spots, Male
Agouti Hooded, Female Agouti Berkshire, Male
Siamese Marked (Hooded), Male Siamese Marked (Berkshire), Male


Problems? Contact me at adoptarat@yresim.org.