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 MrMrsMissMsOther 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 weeks NoYes This is the first animal of this species that I will have owned NoYes
The safety of our staff and visitors is RSPCA Radcliffe Animal Centre's top priority. To prevent the spread of COVID-19 and reduce the potential risk of exposure to our staff and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone on this site. Thank you for your time.
Have you, or any other visitors, had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? NoYes
Have you, or any other visitors, experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)? NoYes
Please advise us if you are considered clinically vulnerable and are currently still shielding. This is so we can discuss the safest options available in terms of how we proceed with the adoption of an animal. NoYes
All personal information supplied by you on this application form will be processed by the Royal Society for the Prevention of Cruelty to Animals whose privacy policy is available and published at: www.rspca.org.uk/privacy or on request by calling Supporter Services on 0300 123 0346. This applies whether the information is supplied directly to the national RSPCA (charity number 219099), as data controller, or is shared with us by an RSPCA Branch (a separately registered charity) as a joint data controller. The term “RSPCA” will refer to both data controllers.
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