Application No Pictures

Are you under 18?

Yes

No

STOP! If you are under 18, please write your name, phone number and email below and have one of your parents complete the remainder of this form.

Are you over 18 but living with / dependent on your parents?

Yes

No

If you are living in your parent’s home / dependent on your parents, they will need to agree to and participate in the adoption. Please write their names, phone numbers, and emails.

Name

First

Last

Age:

Date of Birth:

Phone

Email

Address

City

State/Province

Zip/Postal

Country

Why are you interested in adopting a rabbit?

Do you rent or own your home?

Rent

Own. Property owners name:Own. Property owners name:

I understand I will need to provide a “pet addendum rental agreement” signed by my landloard.

Do you live alone?

Yes

No

SOMETHING TO CONSIDER: Finding a pet-sitter for a rabbit can be challanging, boarding at the vet or with a recsue can cost $35-55/day. Who will take care for the rabbit if you are traveling or become ill, are hospitalized, etc?

List all people living in the home, their relation and ages. Everyone will need to agree to and participate in the adoption process.

Describe your household’s current day to day schedule:

Who will be the primary caregiver(s) that will be changing the litterbox, feeding, cleaning the enclosure, brushing, trimming nails, playing and providing enrichment?

If the primary caregiver is under 18, who will supervise to make sure that the care is performed and/or responsible for taking over if the caregiver is not able?

The annual cost of having a rabbit is estimated to be $2,000. Who will be financially responsible for the cost of food, supplies, and veterinary care?

Do you use air freshiners, plug ins, diffusers or incense?

Yes. Please specify:Yes. Please specify:

No

Unsure

Does anyone in your home smoke or vape?

Yes. Please specify:Yes. Please specify:

No

Unsure

Does anyone in your home have allergies to rabbits, other types of animals, hay, or the type of bedding you will be using?

Yes. Please specify:Yes. Please specify:

No

Unsure