Full name:
Phone number:
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Zipcode:
Are you 18 years of age or older?
Yes No
E-mail address:
Experience level with hedgehogs:
Interest for hedgehog:
How many children under ten years of age are in the household?
Do you have a cage set up?
Yes No
Do you have other pets in the household with direct access to where the hedgehog will be?
Yes No
Do you understand hedgehogs need 75 to 85 degrees Fahrenheit temperature year round?
Yes No
Please provide your veterinarian's name:
Please provide your veterinarian's number:
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Additional comments: