Adoption Application & Contract – Florida Skunk Rescue

Florida Skunk Rescue Adoption Application

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Note: If you do not live in Florida, do not complete application. Email us at floridaskunkrescue@verizon.net for further information, or contact your State wildlife commission regarding skunk ownership and laws in your State.(Required)

I acknowledge

Name (First and Last)(Required)

Email(Required)

Phone Number(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Application Questions

Have you ever or do you currently own a pet skunk? If so, where did you obtain your pet skunk?(Required)

Do you currently have a valid Florida Fish and Wildlife Class III Captive Wildlife Permit? Answer "yes" or "no". If yes, please provide permit # and expiration date.(Required)

Why do you want a pet skunk? What qualities are you looking for in your skunk? What sources have you read about skunk care? Please be specific, list all sources. Do not generalize and say "too many to list".(Required)

What vet will you use for your skunk? Please provide name, address and phone number. Be advised that not all vet treat skunks or know how to treat skunks. If you need a recommendation let us know.(Required)

What will you feed your skunk? Include any vitamin or mineral supplements you plan to use.(Required)

Who will be the primary caregiver for the skunk?(Required)

Does anyone in your home have pet allergies?(Required)

Yes

How to you plan to house your skunk? Indoor free roaming, indoor crated, etc.(Required)

How many hours a day will your skunk be left alone?(Required)

When alone, where will your skunk be kept (crate, free roaming)?(Required)

Are you willing to work through unexpected hardships with your skunk, i.e. housetraining, failure to use the litter box, separation anxiety (rare in skunks), breaking out of crate, fear, socialization, acclimation to other pets, etc.?(Required)

Yes

Do you have screens on your windows?(Required)

Yes

List below any current pets you have or have had within the last 3 years. Please indicate whether you still have them and if not, why not.(Required)

Have you ever had to give up a pet you have had within the last 3 years? If "yes" please tell us why and where the pet went (i.e. shelter, family, friend, etc.)(Required)

Are your current pets spayed/neutered, up-to-date on vaccinations and kept on heartworm prevention? If not, why not.(Required)

Please provide the name, address, and phone number of your veterinarian for your current pets as well as what name the vet records are under.(Required)

How soon are you ready to adopt?(Required)

Right now

1-2 weeks

1 month

2-3 months

Do you own your own home or rent? If you rent, please provide the name and phone number of your landlord and whether you have his/her permission to have a pet skunk.(Required)

Do you consent to a home visit as part of the adoption process? If you do not live within the Tampa Bay area are you willing to submit photographs of where the skunk will be living as part of the adoption process?(Required)

Yes

Please list all the people living in the home and their ages. If there are children in the home, have they been exposed to having a pet? Are ALL family members aware of the adoption?(Required)

Please list your occupation, name of your employer, address, and phone number below:(Required)

Do you know of or anticipate any major expected changes in your life during the next 1-12 months?(Required)

New marriage

New baby

Moving to new home or out of state

Extended vacation

Members of family moving in or out

Job changes

None

Other:

Other

How did you hear about our rescue?(Required)

Complete and submit the adoption contract as well. Both documents are required to proceed with the adoption process.

Florida Skunk Rescue Adoption Contract

This contract is between Florida Skunk Rescue and the adopter named below:

1. Do you agree that the skunk(s) you are adopting are to be kept as a domesticated house pet for yourself, and that the skunk(s) will not be sold, adopted, used in animal exhibits or given to another party?(Required)

Yes

2. Do you agree that the skunk(s) will not be allowed outdoors without proper supervision? When taking the skunk(s) outdoors, do you agree that he or she will be on a secure harness or in an escape proof enclosure?(Required)

Yes

3. Do you agree that the skunk(s) is to be your companion animal? Do you agree that the skunk will live inside your home, and not outdoors or in a business location?(Required)

Yes

4. Do you agree to care for the skunk(s) in a humane manner and to be a responsible skunk guardian? This includes supplying proper and adequate food, water, shelter, attention and medical care(Required)

Yes

5. I agree that if at any point I cannot keep the skunk, I will return him/her to Florida Skunk Rescue without requesting a fee nor will I try to sell or adopt it to another individual.(Required)

Yes

6. I understand and agree that Florida Skunk Rescue makes no guarantees about the animal’s temperament, age or health and is not responsible for future damages or injuries caused by the animal. I understand and agree that Florida Skunk rescue has given me as much information about the skunk as provided by the former owner.(Required)

Yes

7. I give Florida Skunk Rescue permission to call my home at any reasonable hour to ascertain that I am giving the skunk proper treatment and care.(Required)

Yes

8. I agree to keep Florida Skunk Rescue informed of my current address and phone number.(Required)

Yes

9. I agree to maintain my Class III Florida Fish and Wildlife permit and renew it as required by Florida Statutes. Failure to do so will require me to surrender my skunk(s) back to Florida Skunk Rescue immediately.(Required)

Yes

10. I understand that, in the event of a failed adoption, I will not receive a refund of my adoption fee(Required)

I agree

I disagree

I, am adopting from Florida Skunk Rescue, the skunk(s) listed on the attached adoption certificate

The adopter grants Florida Skunk Rescue the right to make a visit to the adopter's premises for checking on the health and general welfare of the skunk(s) and to verify that the animal has been cared for according to the terms of this agreement.

The adopter represents that all household members have agreed to the adoption of the skunk(s) and that all household members will abide by the terms of this agreement. The adopter further represents that he/she is twenty-one years of age or older.

The adopter represents that he/she, nor anyone in the household, has never been subject to legal action for cruelty to or neglect of animals. The adopter further represents that he/she has never owned an animal, which have been confiscated by an animal control officer or humane organization for violations of state or local animal control regulations or animal adoption agreements.

If the adopter is a tenant, the adopter agrees to provide written permission from the landlord consenting to the skunk adoption to Florida Skunk Rescue.

The adopter understands that the skunk(s) are quarantined and fully vetted (if deemed necessary) while in the care of Florida Skunk Rescue, and all known medical issues are disclosed, but additional veterinary attention may be needed at the owner's expense. The adopter agrees that they will not solicit Florida Skunk Rescue for coverage of future medical expenses.

The adopter agrees that Florida Skunk Rescue shall have the right of immediate possession of the skunk if, in the judgment of Florida Skunk Rescue, the skunk is receiving inadequate care, or is being improperly housed or handled.

The adopter agrees to pay Florida Skunk Rescue the sum of $300.00 as liquidated damages in the event that the terms of this contract are breached; this liquidated damage value does not bar Florida Skunk Rescue from seeking the return of the animal by judicial process or other legal means if necessary. If legal action is required, the adopter agrees to pay reasonable attorney's fees and court costs.

The adopter hereby declares that he/she is aware:

(a.) That skunks are different from human beings in their responses to human actions,

(b.) That the actions of skunks are often unpredictable,

(c.) That the animal's behavior may change after it leaves the rescue or other environment and accustoms itself to its new environment,

(d.) That Florida Skunk Rescue makes no claims as to the temperament, health, age, or mental disposition of any skunk put up for adoption,

(e.) That the adopter, upon taking physical possession of the skunk, hereby accepts legal guardianship and responsibility for the skunk referenced in this contract and discharges Florida Skunk Rescue forever from liability for any injury or damage to any person or property caused in the future by said skunk, and from any causes of action, claims, suits, or demands whatsoever that may arise as a result of such injury or damages,

(f.) That there will be NO REFUNDS OF THE ADOPTION FEE IF THE SKUNK MUST BE RETURNED TO FLORIDA SKUNK RESCUE,

(g.) That the adopter has received a copy of Florida Skunk Rescue’s Adoption Contract Terms I hereby declare that I am the adopter whose name is affixed below, and that all of the information I have provided is true and complete to the best of my knowledge.(Required)

I agree

I disagree

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Print Name(Required)

Date(Required)

MM slash DD slash YYYY

Signature of Adopter(Required)

Florida Skunk Rescue Adoption Application

Application Questions

Florida Skunk Rescue Adoption Contract

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