Small Animal Adoption – kirsten's zoo

A. ABOUT YOU

Full Name*

Full Residential Address*

Email*

Telephone*

Mobile*

Are you adopting for yourself or someone else*

Is your home a*

House
Flat
Boat
Other

Size of premises in square feet*

Is there an outside area*

Garden
Roof
Patio
Terrace
Balcony
None

How long have you lived at this address*

Are you able to provide proof of your current address*

Do you own or rent your home*

Are pets allowed in your building*

Yes
No

If renting, may we obtain the landlord’s permission for you to have a pet*

Yes
No

How many adults live on the premises*

How many children live on the premises

Children's age

Under 5 years
6 to 11 years
12+ years
n/a

Is there a particular pet you are interested in*

B. YOUR LIFESTYLE

What is your current occupation*

Does your employment require you to travel*

Yes
No

Do you employ a domestic helper*

Yes, Full Time
Yes, Part Time
No

How many days and hours per week

C. PREVIOUS/CURRENT PETS

Will this be your first pet:*

Yes
No

Please highlight any relevant experience with this animal:*

Have you ever given up a pet? If yes, please explain*

What happened to pets you no longer have*

Do you have any pets at the present time? If yes please describe each one*

If you go on holiday who will take care of your pet/s*

If you move will you take your pet with you*

D. YOUR NEW PET

Have you ever applied to any other Animal Welfare Organization? If yes, which one please

Are you willing to have our representative come to see where the pet will be living*

Are you aware that it may take your new pet a bit of time to settle in and adapt to his / her new environment*

Will you be responsible for your pet for the rest of his/her life*

Yes
No

In the unlikely event that something should happen to you who will take care of the pet *

Data Protection Policy

The purpose of this statement is to describe how Kirsten’s Zoo charity uses personal information that we may obtain about you. By browsing our website and communicating electronically with us, you acknowledge and agree to this use. We value you as a potential adopter and are committed to the protection of your privacy. We will not sell or disclose personally identifiable information about you to unaffiliated third parties except as set out in this policy. If you have any requests concerning your personal information or any queries with regard to this policy please contact us at kirstenszoo@gmail.com. We will contact you by telephone, post or email unless you tell us otherwise.

INFORMATION COLLECTED

We collect personal information which you provide when you complete the registration form, or if you provide us with your details by email, telephone or any other means of communication. We may also collect information such as ip addresses of visitors to our website and urls of pages viewed. All Questionnaires are kept in our system for a period of three months.

USE OF PERSONAL INFORMATION

We process personal information collected for the purposes of:

Identifying potential adopters/fosters
Administering adopters/fosters
Carrying out market research
Providing you with information about our offers e.g. special offers, events and promotions.

We will contact you by telephone, post or email unless you tell us otherwise.