ADOPTION APPLICATION DONATE TODAY Please enable JavaScript in your browser to complete this form.Name *FirstLastWhich BeWild animal would you like to adopt? *Email *Phone Number *Date of Birth *OccupationStreet Address *City, State *What type of residence do you live in? *ApartmentTownhomeHouseOtherDo you rent or own? *RentOwnIf you rent, do you have your landlord's permission to own this animal? *YesNoN/A, I don't rentIf needed, would you be OK with BeWild conducting a home visit? *Please list the names and ages of all members living in the household. *Please list all of the pets you currently own. *Only the species is required. Please also note how many you have of each species.Who will be the animal's primary caregiver? *If any, what experience do you have with this species? *What will you be feeding this animal? How often will you feed it? *Please be specific, and include any supplements. What size and type of enclosure will the animal be kept in. *Please be specific. What kind of substrate will you use? *What kind of lighting will you use? *If listing a UVB bulb, please be specific about the type of bulb. At what temperature will you keep the animal? *How will you achieve this temperature? *What humidity level does this species require? *How will you achieve the correct humidity level? *What vet do you currently use? May we contact them for a reference? *If you don't currently see an exotics vet, list one local vet that you have confirmed will work with this species.Are you prepared to seek veterinary care if necessary? *Have you ever rehomed or surrendered a pet? If so, please list the animal and the reason behind your decision. *Having rehomed or surrendered a pet will rarely disqualify you from adopting! However, failing to list animals you have rehomed WILL disqualify you. If you've had any pets pass away in the past 5 years, please list their species, age, and the reason for their passing.Has anyone in your household bred an animal? If so, please describe the circumstances. *Again, this will rarely disqualify you - so please be honest!Do you agree to never breed this animal and take any measures necessary to prevent reproduction? *For reptiles, preventing reproduction often just means housing them individually. Our animals are rescues with unknown genetic history and for that reason, they should never be bred.Do you agree to return this animal to BeWild should you no longer be able to care for it? *If approved, will you be able to pick up this animal from our property in Durham, NC within 7 days of approval? *Please list the names and phone numbers for two NON-FAMILIAL references. *Submit