Your full name
Date form filled in
Second Applicant Name (partner, spouse, etc)
Door Number & Street Address
Other (please add in next field)
City of Hamilton
Town of St George
Do you own or rent?
Rent (if rent, your landlord will need to confirm it's okay to have this type of pet).
I am interested in
A single rabbit to live alone
More than two
A rabbit to pair up with my existing rabbit
Guinea Pig (one or more)
Parrot or other bird
if you are applying in respect of a specific animal, please let us know the name, details, and where you saw the animal listed.
What age are you looking for? You can pick more than one if you need to.
Under 3 months
Under 2 years
Older than 2 years
Not fussed as I am interested in their personality mainly
Male or female?
Do not mind
The animal will live in:
House with access to garden
Hutch and run
Enclosed area in yard
(Rabbits only) Please attach a picture of the enclosure where the bunny will live, or if you don't have one yet, of where it will be positioned.
A bit about your family and home. Please select from the drop down, any that apply - more than one reply will be needed and the ones you select will appear below the box (hopefully!). You can comment further in the notes at the end. The purpose of this question is for us to avoid introducing you to an animal for adoption which would be unsuitable.
We have young kids under 5
we have kids between 5 or older
We have other rabbits
Is your existing rabbit / guinea pig neutered or spayed?
Don't have an existing rabbit.
Your ideal pet would be (choose as many as apply)
Which vet do you currently use for existing pets?
No existing pets
Don't have a vet.
Declaration: do you agree that your adopted pet will receive the needed medical attention at your own expense and you are aware of the costs of preventative, routine and emergency care
Do you understand that this application does not guarantee that you are able to adopt a specific named animal, or any animal, from the SPCA?
Are you 18 years of age or older?
Do you understand that falsification of the above information may result in an adoption being declined or confiscation of the adopted pet.
Photo of your driving licence, Bermuda ID card or other Government issued ID. The application cannot proceed without this.,
Anything Else? You can either submit the form electronically, or print it and bring it in to the SPCA (Ctrl+P to print on Windows, Command+P on Mac). Your displayed answers will be on the page.
If you have a written or printed note of permission from your landlord, you can attach it here if it can be photographed. At present, the software does not allow you to attach documents, PDFs or email to this form, but you can email these (or forward them) to email@example.com - please mention in the email your name and address so we can link them to this application. Thank you.
You can sign electronically, either with your finger (on a touchscreen) or the mouse. If the signature comes out wrong, or indeed very wrong, you'll be asked to re-sign it later.