Your Name (First and Last):
Phone number (please include area code):
Species of Pet:
Is your pet spayed/neutered?:
Weight (in pounds):
Does your animal have a microchip?:
How did you get your pet?:
How long have you had your pet? *:
Around a year.
How long can you keep your pet before surrendering? *If less than one week, please call our Safety Net helpline at 828 761-2008:
Why do you need to rehome your pet?:
Check all the following that describe your pet:
For dogs only - what is your dog's energy level?:
N/a (not a dog)
For dogs only - what level of exercise does your dog usually get daily (exercise may include playing, walking, running, etc):
n/a (not a dog)
What is something you love about your pet? What else should someone know about your pet?:
He is very sweet and kind of shy. He’s very curious and likes to slither around a bit exploring his tank. He also likes to stare at you with curiosity.
Has your pet lived with:
How many hours is your pet home alone each day?:
What does your pet dislike or fear?:
He gets nervous with loud noises or fast movements.
Where is your pet kept during the day?:
In a 40 gallon glass tank with a vented top.
Where does your pet sleep at night?:
How does your pet ride in the car?:
In a reptile transfer/feeding container.
Please list any past or present injuries, treatment or other medical histories.:
I agree that I will respond to all requests for more information about my pet in a timely manner (Checking No will stop Post):
I certify that I am the lawful owner of the pet identified here: