Adoption Application

Adoption Application

Have you ever had a companion rabbit? *	Yes No
What interested you in adopting a companion rabbit? *
Do you own or rent your home? *
Where in your home would the rabbit live? *
Are you over 18 years of age? *	Yes No
Do you live with other companion animals? *	Yes No
If so, what are they? *
If you live with other rabbits, are they spayed/neutered? *	Yes No
Are you looking for a companion for your rabbit? *	Yes No
Have you ever surrendered an animal to a shelter? *	Yes No
If so, why? *
Do you have any children? *	Yes No
If so, what are their ages? *
Who would be the rabbit's primary caregiver? *
How long each day would you be able to spend with the rabbit? *
How did you hear about our rescue? *
Name of rabbit you're interested in adopting: *
Name: *
Mailing address: *
Phone number *
Email address: *