Perfect Match Form

1. Your Details

Title
—Please choose an option—MrMrsMsMissDrProfessor

First Name

Surname

Email

Telephone

Address

Postcode

2. Where did you hear about us?

—Please choose an option—Already knew ShelterWord of mouthReferred from elsewhereRSPCA websiteLittle Valley websiteSocial mediaOther

3. Your adoption preferences

What would you like to adopt?
Pair of rabbitsRabbit(s) to bond with existing rabbit(s)Pair of guinea pigsGuinea pigs to bond with existing guinea pig(s)

Gender of preferred rabbit/guinea pig(s):
—Please choose an option—MaleFemaleEither

Have you seen rabbit(s)/guinea pig(s) on our website you are interested in adopting? If so please tell us their name(s) :

4. Your home and animal accommodation:

Do you own or rent your home?
—Please choose an option—OwnRent

If you rent, have you got written permission from your landlord?
YesNo

Do you have a garden?
YesNo

Is it communal?
YesNo

Do you have the animal accommodation already?
YesNo

If yes, what size is the shelter (hutch, playhouse, shed etc.)? Please enter in feet the width, depth and height:

Is the living area (run) permanently attached to the shelter?
YesNo

What size is the living area (run)? Please enter in feet the width, depth and height:

On what is the shelter and living area sited?
GrassConcreteDeckingPaving slabsOther
Other? Please specify:

Are you able to provide photographs today of the shelter and living areas today?
YesNo

5. Your family:

Number of adults living at home:

Number of children living at home:

Children's ages:

Do you own other rabbits/guinea pigs?
YesNo

If yes, what gender are they:
MaleFemale

If yes, what age are they:

If yes, what breed are they:

Are they neutered?
YesNo

Have they been vaccinated in the last 12 months?
YesNo

Are there any other animals at home?
NoDogsCatsFerretsBirds
Other? Please specify:

6. Your Lifestyle

Are you planning to move home in the next few weeks?
YesNo

Do you have any holidays planned in the next 3 months?
YesNo

If yes, please give dates/duration etc:

6. Your ideal rabbit/guinea pig would:

Be litter trained:
Very importantQuite importantNot important

Be comfortable around children:
Very importantQuite importantNot important

Enjoy being picked up/petted:
Very importantQuite importantNot important

7. Final few questions:

I would like an indoor rabbit/guinea pig only:
YesNo

I am a first time rabbit/guinea pig owner:
YesNo

Do you confirm that all the above information is true and accurate and that you agree to the RSPCA Adoption/ Fostering processes and are happy to have a home visit if required?

I confirm

YOUR INFORMATION

The information you have provided on this form will be used by the RSPCA for the purposes of facilitating your application to foster or adopt a pet. We will not use your personal information for any other purpose without prior notice to you and we will not share your personal information with third parties for their own marketing purposes.