First Name: *

Last Name: *

Email: *

Phone:

Address: *

City: *

State: *
Nevada

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Number of tortoises being registered:

* I have read all the information available on the Tortoise Group website about tortoise care and creating a tortoise habitat. To the best of my ability, I have followed the directions and recommendations to create a healthy, safe tortoise habitat. By submitting, this document, I affirm that the statements on this application are true.
* By printing the Adoption Certificate and Contract, I agree to all its terms and conditions.

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