RSPCA Cornwall Small Animal / bird Adoption Application

Hello and thank you for completing this form. This form loads into our database (and therefore doesn't resemble our website) and our staff will use the form to match you with an animal which we know will meet your requirements. If you have asked about a specific animal then we will be in touch sooner. As the matching process can take time please allow a few days for a response and do not send a new form. Thank you!

*	Please note, only the adopter (over 18 years old) themselves can complete the form - please confirm.
Is everyone in your household aware that you are planning to adopt a pet?	Drop down to select Yes No N/A
Is there a specific animal on our site you are interested in adopting *	NoYes
If yes, please give name and any reference numbers if included.
Title *	Mr Mrs Miss Ms Mx Dr
Your First Name *
Your surname *
Full address *
Town *
Post Code *
Phone Number * Please use the following format 248-555-1212
Mobile Phone Number *
Email Address * Please enter correctly as this is the main way we will contact you
How did you find out about us?	Drop down to select InternetSearch Family/Friend Staff/Volunteer Facebook/Twitter national RSPCA already know you I ama previous adopter I was told about you by my vet
Please check the main reason you plan to adopt a pet: *	Drop down to select Companion Family Pet Child's Pet Companion for another pet Other
If you answered "other" above, please explain here:
Do you own or rent your home? *	Drop down to select Own Rent Someone else owns the Home Someone else rents the Home
If you rent, does your landlord and lease allow pets? (If yes, please attach landlord's written permission, without this your application may be delayed) *	Drop down to select Yes No Unsure N/A
Please list any other pets (including breed and age) you have at present *
Are you looking for a male or female animal? *	Male Female Not fussed
Are you looking for a pair or a singleton? *	Drop down to select Single animal Pair Either
I am looking for (you can repeat-click this box to select multiple answers) *	Hamster Gerbil Rat Mouse Chinchilla Chipmunk Guinea Pig Degu Ferret Budgie Cockatiel Finch Canary Other
Additional info (you can select more than one)	I have the animal's accommodation already I am a first time owner of this type of animal
Please state the dimensions of any accommodation (length x width x height) you already have *
What arrangements will you make for the care of your pets in case of an emergency? *
What will you do with the animal when you go on holiday? *
Please tell us about anything else you feel is important. *
You can save time later by attaching official photo ID Now
Photo of existing accommodation/garden to support your application if you have it
Photo of existing accommodation/garden to support your application if you have it
Photo of existing accommodation/garden to support your application if you have it
Photo of existing accommodation/garden to support your application if you have it
Photo of existing accommodation/garden to support your application if you have it
Photo of existing accommodation/garden to support your application if you have it
Signature (If on a touchscreen or with mouse) *	Clear
We would love to keep you updated about our fundraising activities, news and ways in which you can help animals. Do you wish for us to keep you updated? *	NoYes
If you answered YES to the above question, please tell us how you would like to hear from us:
	Email
	Phone
	Post
	SMS

RSPCA Cornwall Branch.