Guinea Pig adoption formCanterbury and District Animal Centre – Guinea pig Adoption FormHow did you hear about the Animal Centre?Adopters InformationTitle(Required)Name(Required) First Last Address(Required) Property name / number / street address City / town Postcode Home PhoneMobile Phone(Required)Email(Required) You are looking to offer a home to:(Required) A guinea pig Two guinea pigs No specific choiceMy ideal guinea pig would be…..Example: Could be a specific guinea pig you’ve seen on our site / National site / our socialsHome LifeHow many people live in your household?(Required)Please enter a number from 1 to 20.Adults:Please enter a number from 1 to 20.ChildrenPlease enter a number from 0 to 20.Ages of childrenIs the above address:(Required) House Maisonette Bungalow Flat Mobile home OtherIs there access to a private garden? Please describe the garden eg. Grassed, paved etcWhat size is your garden? E.g small, medium, large, extra largeIs your garden enclosed? How high is the fencing?Is there likely to be a significant change to your routines in the next 6 months (new baby, moving house etc.)Are you going on holiday? – If yes when and how long for:Are there any children that regularly visit the property? – If yes who, why and how often? Please give ages.Do you or another member of your household currently smoke?Working LifePlease describe your working pattern:Please describe the working pattern of any other members of the household:On average how long would your guinea pig be left on its own and why?Where would the guinea pig be kept whilst you are out at work?Experience and other petsHave you owned a guinea pig before? – If yes how long for and what happened to them?Where did you get the guinea pig?Do you have any other pets? (cats or other species) – How many other pets:Please describe your other pets (for example breed, age, sex, neutered):Please describe the temperament of your existing pets:Are all existing animals up to date with routine vaccinations? (Proof of vaccination must be seen before adopting)Will the guinea pig(s) be kept indoors or outdoors?Please describe the accommodation you intend to keep them in.Please describe the exercise opportunities they will have.Please describe the diet you will provide them.Who will be the primary caretaker?Please provide the name of your vet and if you are happy for us to contact them?What provisions will be made for the guinea pig(s) if you are away?Are you prepared to seek veterinary advice and to cover the costs incurred for any treatment given?In the event of a sudden change in circumstance or bereavement, would you have someone who is able to take over ownership of the guinea pig(s)?Which age bracket are you in?(Required) 18-25 26-35 36-45 46-55 56-65 66-70 70+Confirmation(Required) By ticking this box I confirm that the above information is truthful and correct