Rabbit Adoption Application

Thank you for your decision to adopt a rescued rabbit. You are encouraged to look at all the animals available to find one that is best suited for your lifestyle. You must be 18 years or older to fill out this application. Please note that you are applying for an INDOOR rabbit only. An adoption coordinator will review your application thoroughly. Please allow 3 to 5 business days for us to review your application. Decisions could take up to a week. Response times will vary, and we appreciate your patience during this time.

Name of animal you are interested in adopting
If name isn't listed above, please enter here:
First Name *
Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Home Phone * If your home number is your cell phone number, please put it here.
Cell Phone
Work Phone
Email Address *
Are you 18 or older? *
Employer
To ensure that this adoption is in the best interest of both you and the rabbit, please answer the following:
Local Reference * Please list the name of a local reference not living with you.
Phone number for local reference: *
Do you rent? *
What is the pet deposit fee?
Complex or Landlord's Name *
Length at this address: *
Landlord's Phone Number *
Including yourself, how many people live in your household? *
Are there children under 18 in the home? *
Please list genders and ages of each child under 18 in the home: *
Are there animals living in the home? *
Please list names, ages, and breeds/species of all animals in home: *
Explain why current pets aren't spayed/neutered: *
Are your current pets spayed/neutered? *
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Phone Number
Are you prepared to take on the financial responsibility including veterinary care upon adoption? *
Do you agree to provide needed care for this rabbit? *
What happens to the rabbit if you move? *
What happens to the rabbit when you vacation or have to leave town? *
Do all members of your household agree on rabbit ownership? *
Reason not all household members agree on cat ownership:
Are you prepared to handle common rabbit issues such as: destructive chewing and clawing, pooping incidents, and other minor issues that might arise? *
I agree to keep this rabbit indoor only and will not declaw. *
I have read the application carefully and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. I am also aware that this is an adoption application, and my application may not be selected. *