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RSPCA Taylors Home Check Form
Please fill out this form to register your interest in adopting an animal
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* Indicates required question
Email
*
Your email
Your full name
*
Your answer
Your full address
*
Your answer
Is this the address the animal will live at?
*
Yes
Other:
Your contact telephone number
*
Your answer
Are you interested in a specific animal from our website? Please give name if so, or give details of the breed / age / sex / colour of animal you would like to adopt.
*
Your answer
Have you owned this type of animal before?
Yes
No
Other:
Clear selection
Details of your current pets
*
Your answer
Are your current pets neutered / vaccinated?
*
Your answer
Name of current vet
*
Your answer
We may sometimes need to contact your vet for information, do we have your permission to do this?
*
Yes
No
Other:
Have you ever been turned down from adopting an animal?
*
Yes
No
Other:
Have you ever required assistance with paying vet bills?
*
Yes
No
Other:
Please give details of your / your partner's occupation(s) (if any) including how many hours worked
*
Your answer
Please confirm that you will be able to pay any vet bills that may arise
*
Yes
No
Other:
Are you aware of the needs of the animal you wish to adopt, in terms of both time and finances?
*
Yes
No
Other:
Is your accommodation...
*
Owned
Rented (private)
Rented (local authority / housing association)
Military
Other:
Is your accommodation...
*
House
Flat (ground floor)
Flat (above ground floor level)
Other:
If rented - do you have permission to keep an animal?
*
Yes
No
I can obtain permission
Not rented
Do you have a garden?
*
No
Yes (private garden)
Yes (shared garden)
Other:
Number of adults and children in the home - please state ages of children and state if a baby is expected
*
Your answer
Who will look after your animals in you are away or ill?
*
Your answer
If you are planning to be away in the near future or to move house within the next 3 months please give details
Your answer
Does anyone in your home suffer from allergies, please give details if so
*
Your answer
If your enquiry is in respect of a cat - do you have a cat flap?
*
Not a cat enqiry
Yes - cat flat fitted
I will be able to have a new cat flap fitted
No cat flap
I can provide alternative shelter a cat
Other:
How long will your cat be left alone on a typical day?
*
Your answer
Is your home on or near a busy road, and have you ever had a cat run over whilst living at this address?
*
Your answer
Are you happy to keep your cat in at night?
*
Yes
No
Not a cat enqiry
Other:
If your enquiry is in respect of a rabbit, guinea pig or other animal, please give size of hutch / run / cage
Your answer
Any other relevant information or comments
Your answer
Please confirm that the information given on this form is correct, and that you are over 18 years of age. After the home check process the reserved animal should be collected within 5 working days, unless arranged with the Centre.
*
Confirmed
Other:
A copy of your responses will be emailed to the address you provided.
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