RSPCA Taylors Home Check Form
Please fill out this form to register your interest in adopting an animal
Email address *
Your full name *
Your full address *
Is this the address the animal will live at? *
Your contact telephone number *
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. *
Have you owned this type of animal before?
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Details of your current pets *
Are your current pets neutered / vaccinated? *
Name of current vet *
We may sometimes need to contact your vet for information, do we have your permission to do this? *
Have you ever been turned down from adopting an animal? *
Have you ever required assistance with paying vet bills? *
Please give details of your / your partner's occupation(s) (if any) including how many hours worked *
Please confirm that you will be able to pay any vet bills that may arise *
Are you aware of the needs of the animal you wish to adopt, in terms of both time and finances? *
Is your accommodation... *
Is your accommodation... *
If rented - do you have permission to keep an animal? *
Do you have a garden? *
Number of adults and children in the home - please state ages of children and state if a baby is expected *
Who will look after your animals in you are away or ill? *
If you are planning to be away in the near future or to move house within the next 3 months please give details
Does anyone in your home suffer from allergies, please give details if so *
If your enquiry is in respect of a cat - do you have a cat flap? *
How long will your cat be left alone on a typical day? *
Is your home on or near a busy road, and have you ever had a cat run over whilst living at this address? *
Are you happy to keep your cat in at night? *
If your enquiry is in respect of a rabbit, guinea pig or other animal, please give size of hutch / run / cage
Any other relevant information or comments
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. *
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