Your Name
City
State
Email *
Best Phone Number *
Does this animal belong to you or another member of your household?
Yes
No
Which option best describes this animal at this time
Found and rescued
Loose outside
Other
If you chose "other", please explain
Was this rabbit adopted from Bun Bun Brigade?
No Yes
What was this rabbit's name at the rescue previously?
Animal`s Name
What type of animal are you surrendering? *
Chinchilla
Gerbil
Guinea Pig
Hamster
Hedgehog
Mouse
Rabbit
Rat
Snake
Terrapin
Tortoise
Gender
Male
Female
Has the animal been spayed/neutered? *
Yes
No
Unknown
Has this rabbit been vaccinated for RHDV2? If yes please email proof of vaccination to bunbunbrigadeintake@gmail.com *
Yes has 1 vaccine
Yes has 2 vaccines
No
This animal is not a rabbit
I don't know (assume rabbit is not vaccinated)
Colour
Agouti
Black
Black and Brown
Black and Tan
Black and White
Blue
Blue Eyed White
Blue Tortie
Brown and Black
Brown and White
Chocolate
Cinnamon
Copper
Cream
Fawn
Golden
Grey and White
Grey/Silver
Harlequin
Lilac
Orange
Red
Red-Eyed White
Ruddy
Sable
Seal
Silver
Sorrel
Sorrel Tortoiseshell
Tabby
Tabby and White
Tan
Tan and Black
Tan and White
Tortie
Tortie and White
Tricolour
Various
White
White and Black
White and Brindle
White and Brown
White and Grey
White and Liver
White and Tabby
White and Tan
White and Torti
Yellow and Grey
Breed
African Grey
American
American Fuzzy Lop
American Sable
Angora Rabbit
Belgian Hare
Beveren
Britannia Petite
Bunny Rabbit
Californian
Champagne D'Argent
Checkered Giant
Chinchilla
Chinchilla
Cinnamon
Creme D'Argent
Dutch
Dwarf
Dwarf Eared
English Lop
English Spot
Flemish Giant
Florida White
French-Lop
Gecko
Gerbil
Guinea Pig
Hamster
Harlequin
Havana
Hedgehog
Himalayan
Holland Lop
Hotot
Iguana
Jersey Wooly
Lilac
Lionhead
Lizard
Lop Eared
Mini-Lop
Mini Rex
Mouse
Netherland Dwarf
New Zealand
Palomino
Parakeet (Other)
Parrotlet
Parrot (Other)
Pigeon
Poicephalus/Senegal
Polish
Prairie Dog
Quaker Parakeet
Rat
Rex
Rhea
Rhinelander
Ringneck/Psittacula
Rosella
Satin
Silver
Silver Fox
Silver Marten
Skunk
Snake
Softbill (Other)
Sugar Glider
Swan
Tan
Toucan
Turkey
Turtle
Age (if unknown how long have you had him/her)
Owner`s reason for parting with animal
Has the animal lived with children?
Yes
No
Not known
If yes, please specify the ages of children and animal`s behaviour
If no, has the animal had frequent contact with children?
Yes
No
If yes, please specify the ages of children and animal`s behaviour
Has the animal lived with other animals?
Yes
No
Unknown
If yes, what types of animals and how did the behave together?
Is the animal used to men and women?
Where did you get the animal from initially?
How would you describe your animal`s behaviour? For example: bold, shy, timid, aggressive, affectionate
How does your animal react to grooming?
How does your animal behave at the vets?
Does your animal have any medical conditions that are undergoing treatment?
Yes
No
Please explain what conditions and what the treatment is.
Has your animal had any previous operations or treatment for medical conditions?
Yes
No
Please specify what operations/treatments and why.
Does your animal have any known allergies?
Is he/she prone to biting?
Has he/she any unusual behavioural habits?
Yes
No
Describe unusual behaviors
Has the animal ever been destructive in the house? Please describe
Yes
No
If yes, please describe the destructive behavior
Is he/she used to being handled?
Please describe the animal`s current living space
Do you agree to paying the surrender fee of $20 for an unfixed bunny or $10 for a fixed bunny? This fee does not apply if the bunny was adopted from Bun Bun Brigade.
We request that all supplies be donated to the rescue, if feasible. Having the materials they are used to makes the transfer to the rescue much less stressful on the bunny.
By signing and submitting this form, I agree to transfer ownership of the animal referenced to Bun Bun Brigade. To my knowledge, no other person has any right to this animal. I hereby surrender all rights to the animal. I understand that once I relinquish the animal, the animal will not be available to be returned to me. I have read and understand the conditions of this Surrender Form. *
Clear