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JSPCA & Covid-19
- Urgent Coronavirus Appeal
Animals
About us
Get Involved
Contact

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Home
JSPCA & Covid-19
- Urgent Coronavirus Appeal
Animals
About us
Get Involved
Contact

Register to rehome: Small Furries, Birds, Aquatics or Excotics

Register here if you would like to rehome a JSPCA animal

Today's Date

Title *

Name *

First

Last

Full address *

Postcode *

Telephone number *

Email *

Hours worked: 1st person *

Hours worked: 2nd person

Age Group *

Under 21
21 – 30
31 – 40
41 – 50
51 – 60
61 – 70
71+

Description of animal wanted (Species, age, colour, sex etc) *

Reason for wanting the animal: *

Have you kept this species before: *

Do you have any other animals? *

If yes, what type / breed:

If yes, what sex

Male
Female
Unknown

Age:

Temperament:

What type of property do you have: *

Is the property: *

Do you have an outdoor area? *

No
Garden
Patio
Balcony

If you have a garden / patio, is it fenced in / walled?

No
Yes

If rented, please provide name and telephone number of Landlord (written permission will be required):

Children: *

I / We have children
Children will visit
A baby is expected
No children

If there are children, please provide details (ages, how often they will visit etc)

Does anyone in the house suffer from allergies / asthma? *

Yes
No

Are all members of this property in agreement with this adoption? *

Health & Safety Disclaimer: (Please tick that you understand the viewing process) – *

Yes
No

By going to view an animal I am aware that I am leaving a public area and entering an environment where there are potential workplace hazards and the risk of injury from animal/s. I accept responsibility for ensuring that I and those that come to view the animal with me will remain with a staff member and all will exercise diligence and are accepting of the risks.

Phone

Please note to comply with GDPR we only keep application forms on file for 1 year. If you would like to discuss staying on file for longer, please get in contact with us.

Recent animals

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01534 724331

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