Waiting List From

Please complete this form to add an animal/s to our waiting list for available placements at the rescue.

Title: *	Mr Mrs Miss Dr
First Name: *
Surname: *
Address: *
County: *
Postcode: *
Landline:
Mobile:
Email: *
I need help with: *	Chinchilla Chipmunk Degu Gerbil Ground Squirrel Guinea Pig Hamster Campbell Hamster Dwarf Hybrid Hamster Roborovski Hamster Syrian Hamster Winter White Mouse Multimammate Rabbit Rat
Number of animals you need help with: *	1 2 3 4 5 6 or more
The rabbits are: (please select all that apply)	Not Neutered Not Vaccinated Neutered Vaccinated
The rabbits are currently living:	Inside Outside
How big is the rabbit/s?	Mini Small Medium Large Giant
The animals are currently:	all kept singly all living together as a single group are living in multiple groups
Please provide full information on the groupings and number in each group to allow us to allocate housing:
Please provide information about the animal/s: (name age sex etc) *
Why do you need to rehome the animal/s? *
Where did you obtain this animal/s? *	Pet Shop Pets at Home Friend/Family Breeder Online Advert
How long have you owned the animal/s? *

IMPORTANT INFORMATION: You will receive an email after submitting this form. Please check your spam folder and add sl2444@bounce.sheltermanager.com to your address book or you will NOT receive further messages from us with regard to placement availability.