Rat Adoption Request Form

Your Name - *

Email Address - *

Your City and State - *

Phone number -

Do we have current babies you are interested in adopting/reserving?

Would you like to be placed on the waiting list for a future planned litter?

Yes No

Which future litter(s) are you most interested in?

Have you owned rats in the past? *

Yes No

Please list the bedding, food and cage size you plan to use for your new rat(s). *

Will your rat(s) have free-range/ out of cage time? *

Will you be breeding your rat(s)? *

Yes No

Do you have a vet lined up for your rat(s)? *

Are you 18 years or older? *

Yes No

If under 18 years of age please have a parents consent here

Who can we thank for referring you to 13 Moons Rattery?

Please feel free to make comments or ask us any questions.