About You
Your
Name:
Your e-mail address:
Your Location:
(Street, City, State, Zip)
Phone Number:
Your Age:
Do you rent or own your own home?:
If you
rent or live with
your parents, are you allowed to have animals where you live?
How long have you lived at your current residence?
What other animals do you own:
(Other than mice)
Do you breed any of them? (describe)
Do you have any children?
If yes, Briefly list their ages and involvement with
pets:
About Your Mice and Their Care
How long have you had mice as pets?:
How many
mice do you have?:
Males:
Females:
What kind of cages/housing do you use?:
What kind of bedding do you use?:
What do you feed your mice?:
Do you have adequate off-site quarantine
arrangements for new mice?:
How long do you quarantine new mice?:
(If no to the above off-site quarantine question,
explain how
you quarantine new mice)
Do you seek medical care for your mice?:
Do you
have a regular
veterinarian for your mice?:
(If you don't have mice yet or you do not have a
regular
veterinarian, it is highly advised that you find one BEFORE you think
you need one!)
Clinic/Hospital Name:
Veterinarian's Name:
Veterinarian's Number:
Location:
Which Mice are You Interested In?
Was there a specific mouse (or mice) listed as
available that
you were interested in?: (Describe, and name which litter(s) they are
from)
Will these mice be a pet for Yourself and/or Your
Spouse or
Your Children?:
If you are interested in adopting mice as pets for
your
child(ren) do you understand that you are solely responsible for their
care, not your child(ren):
If you
are not local (IL/IN
area) please explain how you intend to get any mice we offer (If you
will drive to get them, ship them, require transport, etc):
Comments and Questions
Is there
anything else
you'd like to add?
Have you
reviewed our
Policies and Adoption Contracts?
How did
you find out about
us?
Please
complete this form
and email it back to us.
rainbowmice@gmail.com
Thank
you!
