Small Animal Adoption Form

Perfect Match
Application to adopt a small animal

Thank you for wanting to adopt a small animal from us. We just need to get a few details so that we can find a suitable animal for you. Please answer as honestly as you can so that we find the best match.

    ABOUT YOU
    Title
    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 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.

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

     

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