Reptile surrender form - RSPCA South Australia

Your details

Name*

Title First name Last name

PID: AID:

Phone number*

Permit number (if you have one)

Email address*

Current address*

Street Suburb Postcode

Which RSPCA South Australia shelter is closest to you?*

Please note that whilst surrender fees apply, our staff are considerate and understanding to individual financial situations and can discuss options with you

• Dogs/puppies- $75 & different price for multiple • Cats/kittens- $60 & different price for multiple • Rabbits- $60 & different price for multiple • Reptiles- $20 & different price for multiple • Other small pets- $20 & different price for multiple •

Surrender details

Please note: if you don't have a permit number or cannot tell us which shop/rescue you brought the reptile from, we cannot accept it. If this is the case, please contact Cleland Wildlife Park on 8339 2444 for other options.

What species of reptile are you surrendering? (Snake, Bearded Dragon etc.)*

How long ago did you adopt/buy your reptile?*

Where did you adopt/buy your reptile from? Please specify name of rescue or pet shop:*

Why are you surrendering your reptile to us?*

Social interactions

Is your pet used to being handled?*

Yes
No

Behaviour and temperament

Has your pet ever bitten anyone?*

Yes
No

If yes, please provide details:

For example, during feeding or handling

Food and feeding

If you have food left, please bring it with your pet.

If your pet is a snake, do you feed it in a tank or carrier?

Yes
No

What type of food does your pet eat?*

For snakes, please specify meal size.

When was the last time you fed your pet?*

What is your feeding regime?*

For example, daily, weekly, fortnightly, or monthly?

Do you give any supplements?*

Health

What is your pet's regular vet clinic?*

Has your pet been wormed regularly?*

Yes
No

If yes, when and what product?

Is your pet currently on any medication?*

Yes
No

If yes, please provide details:

If your pet is a snake, when was the last time it shed its skin (if you remember)?

What size is your pet?*

Please specify in feet or metres.

How old is your pet?*

What sex is your pet (if known)?

If your pet is a turtle, did you keep it in a tank or a pond?

Does your pet have any UV exposure/lighting in the enclosure?*

Yes
No

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Phone

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