Perfect match form for a SMALL ANIMAL(S)

RSPCA

Application to adopt or foster a small animal(s) from RSPCA Worcester and mid-Worcestershire branch

Great news; you want to adopt or foster a small animal or animals from us.
We just need to get a few details from you so we can find the perfect animal for you.
Please answer honestly so we find the right match!

If you are interested in a specific small animal or animals, please tell us their name(s)
Or describe what you are looking for
Please tell us why you are looking to adopt a small animal(s) *
A FEW DETAILS ABOUT YOU
Title
First name *
Surname *
Address *
Town *
County
Postcode *
Best phone number to contact you on *
Email address *
WHERE DID YOU HEAR ABOUT US?
Please advise how you heard about RSPCA Worcester & Mid-Worcestershire Branch
If other, please state where
YOU ARE INTERESTED IN?
Adopting or fostering? *
Species *	Hamster Gerbil/Jird Chinchilla Degu Mouse Rat Reptile Pet bird Other
If other, please state which species of animal you are looking to adopt:
Age of small animal *	2-6 months 6-12 months 1-2 years 2-4 years 5+ any
Gender of small animal(s) *
Are you looking at adopt: *
A LITTLE BIT ABOUT YOUR HOME
Do you own or rent your home? *
If you rent, does your landlord and lease allow pets?
Do you already have their accommodation? *
If Yes, please tell us what size the housing is and what type of accommodation you have:
If you already have their accommodation please insert an image or images of their accommodation/areas they have access to:
Image
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A LITTLE BIT ABOUT YOUR FAMILY
Including yourself, how many adults live in your household? *
How many children live in your household (under 16)? *
Children's ages:
Does anyone in your household have allergies to animals? *
Do you own other animals of the same species as you wish to adopt? *
If yes, please state their gender, age and temperament
If you are looking to adopt and bond with an existing small animal(s), please advise us in brief the process you will follow:
Do you own other pets? *
If other, please state what other animals you have
A LITTLE BIT ABOUT YOUR LIFESTYLE
What provision do you have for cleaning out and feeding, i.e. who and frequency? *
Are you planning any of the following? *
If you have selected either of the above, please give further details - ie: holiday dates, provisions for leaving guinea pigs / likely date of planned move
I am a first time owner of the animal I wish to adopt/foster *
Is there anything else you would like us to know or add to your form?
Signature
Date *
We'd love to keep you updated about our fundraising activities and ways in which you can support us to help animals. Tell us how you would like to hear from us	Post Telephone Email SMS

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 national RSPCA (charity number 219099),
as data controller, or is shared with us by an RSPCA Branch (RSPCA Worcester is a separately
registered charity no 205930) as a joint data controller. The term "RSPCA" will refer to both data controllers.

Perfect match form for a SMALL ANIMAL(S)

Application to adopt or foster a small animal(s) from RSPCA Worcester and mid-Worcestershire branch

A FEW DETAILS ABOUT YOU

WHERE DID YOU HEAR ABOUT US?

YOU ARE INTERESTED IN?

A LITTLE BIT ABOUT YOUR HOME

If you already have their accommodation please insert an image or images of their accommodation/areas they have access to:

A LITTLE BIT ABOUT YOUR FAMILY

A LITTLE BIT ABOUT YOUR LIFESTYLE

WHILST EVERY CARE IS TAKEN TO FIND THE RIGHT ANIMAL FOR YOU, WE CANNOT GUARANTEE BEHAVIOUR