Bermuda SPCA Rabbit & Small Animal Application

Adopting a small animal or rabbit

BERMUDA SPCA - APPLICATION TO ADOPT A RABBIT FROM THE SPCA Thank you for completing the form fully. Please note we can only take forward fully complete webforms, which need to include a scan or photo of your ID (such as driving licence) as an attachment. You will also need to provide confirmation from your landlord, if you rent, that you are allowed pets. At present, the web form only accepts attachments as photographic files (JPEGs etc) but any other attachments can be emailed to info@spca.bm (please remember to put your name in the email subject field) Please remember to inform us if you adopt an animal elsewhere so we can remove your form and not contact you. Thank you. Many thanks.

Are you 18 years of age or older? *	NoYes
First Name(s) *
Last name *
Email Address *
Confirm email
Home Phone
Mobile Phone
Door Number & Street Address *
Address Notes (unit #/house colour/landmarks)
Parish *	Devonshire Hamilton Paget Pembroke Saint George's Sandys Smiths Southampton Warwick City of Hamilton Town of St George
Postal Code *
Which best describes your current living situation? * *Written permission/lease required for renters and those living with family. Condo board approval required for condo owners.	Own my home Rent my home Live with parent(s)/family Own a condominium
Please upload proof that pets are permitted at your residence. * Accepted upload format: JPG/JPEG. Please upload written permission from your landlord/property owner, a lease, or condo board/association approval confirming the type and number of pets permitted at your residence (e.g., one dog, two dogs, one cat, two cats).
Second Applicant First Name (partner, spouse, etc)
Second Applicant Last Name
Second Applicant Phone
Second Applicant Email
What type of animal are you looking to adopt? *	Bird Cat Chicken Chinchilla Cockatiel Cow Dog Dove Duck Fish Gerbil Goat Goldfish Goose Guinea Pig Hamster Horse Mouse Multi Species Octopus Other Parrot Pig Pony Rabbit Rat Sheep Terrapin Tortoise Unknown
If you are applying concerning a specific animal, please let us know its name, details etc, and where you saw the animal listed.
I am interested in (More than one response can be selected) *	A single rabbit to live alone A pair More than two A rabbit to pair up with my existing one Hamster A single Guinea Pig to live alone A pair of Guinea Pigs A Guinea Pig to pair up with my existing one Parrot or other bird
What age small animal are you looking for? *	Any age Very Young Young Older
Male or female?	Any Female Male
The animal will live in: *	House only House with access to garden Hutch only Hutch and run Enclosed area in yard Indoor cage Aviary
(Rabbits only) Please attach a picture of the enclosure where the bunny will live, or if you don't have one yet, of where it will be positioned/located *
Is your existing rabbit/guinea pig neutered or spayed?	Yes No Don't know Don't have an existing rabbit/guinea pig.
Which vet do you currently use for existing pets? *	Ettrick Endsmeet Cedar Tree BVS VetSmith No existing pets Don't have a vet.
Please let us know a bit about your family and home. (Please select any/all that apply). You can comment further in the Additional Information section. The purpose of this question is for us to avoid introducing you to an animal for adoption which would be unsuitable. *	We have young kids under 5 We have kids between 5 and 10 We have kids older than 10 We have kids visiting regularly We have 3 or fewer adults at home There is only me at home We have cat(s) We have dog(s) We have visiting dogs We have visiting cats We have other rabbits/small animals/birds We have no existing pet(s)
Please select any statement that applies to you. (More than one response can be selected) *	It is very important that the animal is good with dogs It is very important that the animal is good with cats It is very important that the animal is comfortable around children It is very important the animal is comfortable being picked up/petted It is very important the animal likes to play with toys Being good with dogs is not that important Being good with cats is not that important Being good with young kids is not that important Being picked up and petted are not that important I am a more experienced rabbit owner I am a first time rabbit owner I am a more experienced guinea pig owner I am a first time guinea pig owner
Additional Information (Is there anything else you would like us to know that you were not able to include above?)
Do you agree that your adopted pet will receive the needed medical attention at your own expense and you are aware of the costs of preventative, routine and emergency care? *	NoYes
Do you understand that this application does not guarantee that you are able to adopt a specific named animal, or any animal, from the SPCA? *	NoYes
Do you understand that falsification of the above information may result in an adoption being declined or confiscation of the adopted pet? *	NoYes
Photo of your driving licence, Bermuda ID card or other Government issued ID. The application cannot proceed without this. *
You can sign electronically, either with your finger (on a touchscreen) or the mouse. If the signature comes out wrong, you'll be asked to re-sign it later. *	Clear

SPCA SHELTER: 32 VALLEY ROAD, PAGET, PG-05. (441) 236 7333. SHELTER OPENING HOURS ARE 11AM-4M TUESDAY TO SATURDAY, 1PM TO 3PM SUNDAY, CLOSED ALL DAY MONDAY.