Tortoise Adoption Form
Liberty Wildlife Rehabilitation Foundation
P.O. Box 14345
Scottsdale, AZ 85267
Wildlife Hotline 480.998.5550

Name:
Phone Number:
E-Mail Address:
Address:
Tortoise number:
Do you have any desert tortoises?		YES  NO
Do you currently have any exotic tortoises?		YES  NO
Do you have other pets that may harm a desert tortoises (dog or cat)?		YES  NO
Do you have a pool?		YES  NO
Is your yard enclosed?		YES  NO
If you have built a pen, is it at least 12'x12'?		YES  NO
Will the tortoise have access to grass?		YES  NO
Have you received instructions on winter care or building a den for hibernation?		YES  NO
Have you been provided a care sheet?		YES  NO
How did you hear about Liberty Wildlife?
Questions about Tortoise Adoption or this form? Contact James Badman at james.badman@asu.edu.
Did you make a monetary donation to help wildlife?		YES  NO
For what amount?
Would you like information on becoming a volunteer?		YES  NO
On becoming a member?		YES  NO
Interested in sending a donation to Liberty Wildlife? Please send checks to: Liberty Wildlife P.O. Box 14345 Scottsdale, AZ 85267