Adoption Application

First Name:

Last Name:

Address:

City:

State:
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Zip/Postal Code:

Phone:

Cell Phone:

Email:

We will never sell or disclose your email address to anyone. Once your account is setup, you may add additional email addresses.

Name rabbit of interest:

Home Information

Do you Own or Rent your home?
ownrent

If you rent, does the owner of the home permit animals?
noyes

How long have you lived in this location?
Please enter number of years.

Please list the ages of the children living in your home:
Enter a comma after each age. (ex. 5,9,13)

What happens to the rabbits when/if you move?

We are seeking your method for handling this situation.

Have you had rabbits before?
Please type yes or no.

If so, please enter the following:
Species:

Age:

Spayed/Neutered?

If you currently have pets, please provide the name and phone of your veterinarian.

May we contact your vet for a reference?
Please type yes or no.

Have you recently surrendered or rehomed any animals?
Please type yes or no.

If so, please explain: (Please provide details.)

Where will the rabbit live? (Please provide details.)

How will you provide your rabbit with daily exercise time? (Please provide details.)

How you will rabbit proof your house or room? (Please provide details.)

Please describe the enclosure where the rabbit will be kept. (Please provide details.)

A typical rabbit lifespan is between 8–12 years. Are you willing to provide a proper home for its entire life?
Please type yes or no.

What do you plan to do with the rabbit if your life situation changes and you have to move, work more hours, have a baby etc? (Please provide details.)

Please list the name and phone of the exotic rabbit vet in your area that you will use in case of a medical emergency. (Please provide details.)

Please consider that vet bills or a rabbit are more expensive than a dog or cat. Are you committed to taking your rabbit to the exotic vet when necessary?
Please type yes or no.

Are you willing to allow a volunteer to do a home visit?
Please type yes or no.

Please tell us more about what kind of home you will provide: (Please provide details.)