Name
 Home Phone
Complete Address (Please include city & state)
Email Address
Are you over the age of 18? If not, age?
No
Yes
Are you a member of any sugarglider forums?
If so, Which ones? What is your screen name?
Marital Status/Living Arrangements
Live Alone? Live with Family? Do children live in the home?
How old are the children?
Who will be responsible for the sugarglider(s)?
What will you feed your glider? Please be detailed
Apartment
 Condominium
Your residence is a/an
Single Family Home
 Town House
Owned
 Yes
Your residence is
 Leased
 If renting, does your lease allow pets?
Will you be moving anytime soon? If so, when?
Do you now have or have you had any pet(s)? What kinds?
When? How long?
Do you breed any animals? If so, Which ones?
Are you USDA licensed? If so, what is your License #?
Have you ever adopted from me before? If so, who did you adopt?
Do you have an EXOTIC Veterinarian?
Please provide the Name, Business Name, Address, & Phone #
Why have you decided that a sugarglider is the right
pet for you?
What do you know about sugargliders are their care?
How long have you been researching sugargliders? Where did you learn about them?
Short Quiz to assess your knowledge....
Do sugargliders require an outside source for heat (ie heat rock or lamp)?
Why or why not?
Choose all are TRUE
(Check all that apply)
 Sugargliders do best
with other glider
companions.
 Sugargliders are
easy pets requiring
no vet care.
You can own only 1
sugarglider for its
life.
The cage I have/plan to have
for my new sugarglider is a
small parakeet cage.
I want to breed to
make money off
sugargliders.
This glider will
be a child's pet
Pellet food is an good
diet.
To stop a glider from biting you push
your finger in its mouth.
What questions would you like to ask me?
Which glider are you interested in? What are you looking
for? (IE color, Sex, etc)
Please fill out this application, it is used to help me determine if you will be a good home for one of my gliders. Once your application is submitted, it
will be reviewed and I will follow up with an email to clarify any questions that I may have. Incomplete applications will be deleted.
Please also take the Glider Knowledge Test and submit it to me. Thank you! ~Krys
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