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Adoption Application


Applicant Information

Name:
Age:
Phone:
Email:
Current address:
City:
State:
ZIP Code:
  I want this rabbit for:      myself      my children      a family pet      companion to another pet      a gift

About your home

  I Own Rent my home
If Renting, Name of Landlord:

Landlord Contact Information

Phone:
E-mail:
Fax:
Do you have a pool?

About You

Names of Adults in the Home:
Number and Ages of Children in the Home:
  Home Lifestyle:     very active     active     calm and quiet
Describe other pets in the home:

Rabbit Experience

Have you owned rabbits before?
If you have a rabbit, is s/he fixed?
Who will have primary responsibility for the care of this rabbit?
Who will care for the rabbit when you are away?

Where will this rabbit…

   Live: Indoors     Cage     Exercise Pen     Indoor Free Range     Fenced Yard     Patio/Balcony
   Play: Indoors     Cage     Exercise Pen     Indoor Free Range     Fenced Yard     Patio/Balcony
   Sleep: Indoors     Cage     Exercise Pen     Indoor Free Range     Fenced Yard     Patio/Balcony

Rabbit Behavior

   Independent: Must have     Acceptable     Will not tolerate
   Wants to be held, petted: Must have     Acceptable     Will not tolerate
   Playful: Must have     Acceptable     Will not tolerate
   Mellow: Must have     Acceptable     Will not tolerate
   Scratching, Chewing: Must have     Acceptable     Will not tolerate
   Biting, Nipping, Boxing: Must have     Acceptable     Will not tolerate
   Marking: Must have     Acceptable     Will not tolerate
   Shy, doesn’t want to be held: Must have     Acceptable     Will not tolerate
   Shedding: Must have     Acceptable     Will not tolerate
What circumstances would cause you to return or re-home this rabbit?
Name of rabbit(s) you are interested in adopting:

The adoption of a rabbit is a commitment for the life of an animal whose average lifespan is ten to twelve years. Since this is a lifelong companion, are you willing to make the investment in both time and finances to care for and properly manage your new pet?

Yes, I understand      Not sure
Signature of applicant:
Date:
Signature of co-applicant:
Date: