Supporting Nottinghamshire

Small Animal Adoption Form

Perfect Match
Application to adopt a small animal

Thank you for your interest in adopting a small animal from our centre. We just need to get a few details so that we can see if the animal you are interested in is a suitable match. Please answer as honestly as you can

    Please give us the name of the small animal pictured on our website that you are interested in adopting.

    ABOUT YOU

    You must be over 18 to adopt an animal from us. Please confirm that you are over 18 years of age.
    I am over 18
    Title

    Surname
    First Name
    Address
    Postcode
    Email
    Telephone

    A LITTLE BIT ABOUT YOUR HOME

    Do you live in a flat ?
    NoYes
    Do you own or rent your property:
    OwnRent
    If you rent, have you got written permission from your landlord?
    N/AYesNo
    Do you have a garden ?
    YesNoCommunal
    Do you have accommodation in place already for the animal in question?
    YesNo
    If "Yes", please describe the type including any sizes. Please give as much detail as possible.

    A LITTLE BIT ABOUT YOUR FAMILY

    Number of Adults
    Number of Children
    Children Ages

    Do you own other animals of the same species as you wish to adopt?
    NoYes
    If Yes, please state gender
    N/AMaleFemale
    Are they neutered?
    N/AYesNo
    Have they been vaccinated within the last year
    N/AYesNo
    Do you own other pets ?
    NoDogsCatsRodentsPet BirdsOther
    If "Other" then please state species

    A LITTLE BIT ABOUT YOUR LIFESTYLE

    Are you planning any of the following?
    Moving House NoYes
    Holiday in the next few months NoYes
    This is the first animal of this species that I will have owned
    NoYes

    All personal information supplied by you on this application form will be processed by the RSPCA Radcliffe Animal Centre (charity number 503759) whose privacy policy is available and published at: https://rspca-radcliffe.org.uk/privacy-policy/. This applies whether the information is supplied directly to the RSPCA Radcliffe Animal Centre as data controller, or whether it is shared with us by the National RSPCA (charity number 219099) or another RSPCA Branch as a joint data controller. The term RSPCA will refer to all data controllers within the RSPCA.



    Whilst every care is taken to find the right animal for you, we cannot guarantee the future health and behaviour of any animal.

     

    Animal Silhouettes

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