Small Animal Adoption Form

ABOUT YOU
Title MrMrsMissMsOther
Surname
First Name
Address
Postcode
Email
Telephone

YOU ARE INTERESTED IN:
Adopting
RabbitGuinea Pig
Gender of animal:
EitherMaleFemale
Are you looking for
A single animalA pair of animalsA group of animals
If you have seen an animal on our web site please tell us their name:

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 the animal accommodation already?
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

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

Is anyone in your household shielding or been identified as clinically vulnerable?
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.