Name
Mailing Address (Please include state)
Home Phone
Work Phone
Are you over the age
of 18? If not, age?
Email Address
No
Are you a member of any sugarglider forums?
Yes
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?
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 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