Small Animal Adoption Form

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 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 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.