Small Animals Adoption Form

First, let us know how to contact you

Your Name *

Telephone *

Mobile Telephone

Address *

Postcode *

Email *

Tell us the name of animal you would like to adopt

Next please provide a little bit about the adoptive home environment

Type of home

In what type of property do you live? *

Do you own your own home? *

Yes

If you answered No to the above do you have permission for animals from your Landlord? * This will need to be seen in writing at the time of your home visit.

Yes

How many adults live at your address?

How many children live at your address?

Ages of children

Do you work? *

Yes

Please give details of your work patterns

What would the maximum time the animal would be left for and how often?

Do you have any resident dogs?

Yes

Please give details of breeds, ages etc

Are there other animals in the home? *

Yes

..if so what animals do you already have

Are the resident pets neutered?

Yes

If not what is the reason for this?

Are you or anyone resident at your property banned from keeping animals? *

Yes

And/or been investigated by local authority/RSPCA for welfare concerns?

Yes

Are you currently registered with a vet?

Yes

Please provide your vet's name, address and telephone number

Would you object to us contacting them for a reference if we felt this was beneficial?

Yes

Are you able to adopt immediately once homecheck has been carried out

Yes

If you have other commitments that may hold up this process please apply once you are in a position to adopt.

I am aware that there is a required adoption fee, which differs by type of animal when I adopt. For animals over 10 years old, it is a donation of the adopter's choice.

Yes

Anything else you would like us to know? Please use this to pass on any information about previous animals owned, experience you may have that you feel is relevant to your application.

Before you submit

I agree all the information I have provided is correct and understand that if this found to be incorrect this will immediately stop my application for adoption.

Yes

I have read and fully agree with the adoption process and terms and conditions of adoption. I also understand the animal I am applying for may have found its forever home. Should my home visit be favourable, I will be invited to view the other animals awaiting adoption.

Yes

Consent *

Yes, I give my permission for Greenacres Animal Rescue to pass my information to a Home Checker through their normal channels for my application to be processed.

Please click here to read our Terms and Conditions

We will often respond to your application by email, so please check your inbox regularly and make sure that team@greenacresrescue.org.uk is not mistaken as spam!