Adoption Application

First & Last Name

Street Address

City, State

Zip / Postal Code

Phone

Email

Do you own or rent?

Own Rent

If renting, do you have a letter of permission?

Yes No

If renting, landlord name and phone number:

Please describe your home life: (ie: active, quiet, hours spent at home)

Family Members: (names of those living at home and ages of those under 21)

Does everyone listed above want a rabbit?

Yes No

Does everyone know about the new rabbit?

Yes No

What made you decide to adopt a rabbit?

Who will be the primary caretaker?

Have you had a rabbit in the past?

Yes No

Do you still have this rabbit? If not, please explain why

How and where do you plan to house your new rabbit companion?

Do you have any preferences for your new rabbit with regard to age, size, sex, color or breed?

How many hours a day will you spend with your rabbit?

Do you have any other animal companions?

Yes No

If yes, please describe them, their age, if they are spayed or neutered and where they live:

Please describe how any of these animals would interact with your new rabbit:

If this rabbit is being adopted as a companion for a current rabbit, tell us about your rabbit:

If you are hoping to get a partner for a rabbit you already have, is your rabbit spayed or neutered?

Yes No

Under what circumstances would you feel the need to bring back an adopted rabbit?

Do you have a vet who cares for your animals?

Yes No

Vets name and phone number:

Where else have you looked to adopt a rabbit?

Is there anything else you would like to add to help us in our decision to accept you as an adopter?