Adoption Application
Rabbit Adoption Questionnaire
Friends of Unwanted Rabbits
Do you know how to pick up and hold a rabbit?
No
Yes
Animal you are interested in adopting
Chandler (Rabbit - R2025003)
Donut (Rabbit - R2025002)
Dutch (Rabbit - R2025007)
Goofy (Rabbit - R2026007)
Hansel & Gretel (Rabbit - R2025010)
Lainey (Rabbit - R2025014)
Mickey (Rabbit - R2025011)
Milo (Rabbit - R2026002)
Minerva (Rabbit - R2025005)
Mumble (Rabbit - R2024002)
Nala (Rabbit - R2025016)
Paddington (Rabbit - R2026009)
Pancake (Rabbit - R2025015)
Piglet & Shamrock (Rabbit - R2026006)
Sven (Rabbit - R2024001)
Tiny & Boston (Rabbit - R2025004)
Willow (& Monty) (Rabbit - R2026003)
Applicant's First Name
Applicant's Last Name
Street Address
City
State
Apartment Number (if applicable)
Zip Code
Phone Number
Please use the following format 248-555-1212
Email Address
Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Date of Birth
Drivers License Number
How did you find out about us?
Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Facebook/Twitter
Other
Have you applied anywhere else for a pet?
No
Yes
If yes, where else have you applied for a pet?
Is this pet for you or someone else?
Myself
Someone else
Do you own other pets at the current time?
No
Yes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?
Yes
No
N/A
How many pets have you owned in the last 5-10 years?
What happened to them?
Are your pets current on their vaccinations?
Yes
no
n/a
Have you ever turned your pet into a shelter or given it away?
No
Yes
If yes, please explain?
Veterinarian's Name
If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code
Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Have you ever had a pet euthanized?
No
Yes
If yes, please explain:
If you have pets, will they adjust to a new pet in the house?
Yes
No
Unsure
N/A
Were any of your pets obedience trained?
Yes
No
N/A
Please check the main reason you plan to adopt a pet:
Companion
Family Pet
Child's Pet Guard Dog
Companion for another pet
Other
If you answered "other" above, please explain here:
Please describe in detail the pet you are looking for.
Do you own or rent your home?
Own
Rent
Someone else owns the Home
Someone else rents the Home
Please select your current residence type.
House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
How long have you lived at this address?
Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
If you rent, does your landlord and lease allow pets?
Yes
No
Unsure
N/A
Including yourself, how many people live in your household?
Please list the ages & relationship of those who live in your home.
Is everyone in your household aware that you are planning to adopt a pet?
Yes
No
N/A
Does anyone in your household have allergies to rabbits or timothy hay?
Yes
No
Possibly
N/A
Employment Status
Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
If you chose "other" above, please explain:
If you are employed, what is your current occupation?
On average, how many hours per day will your pet be left alone?
How much do you think the annual medical bills will be for your pet?
About $100
$100 - $200
$200 - $300
$300 - $500
$500 +
What would you do if the bills went over this amount?
Please provide a description of how the rabbit will be set up and where
*
Will the animal spend any time in the garage?
Yes
No
N/A
If the animal will spend time in the garage, please explain when/why:
How will you handle destructive behavior?
Will you keep the rabbit up-to-date on annual RHVD2 vaccinations ?
No
Yes
If no, please explain:
Are you willing and able to exercise the dog on a regular basis?
Yes
No
N/A
If yes, what is the method of exercise?
Walking
Running
Dog Park / Dog Run
Other
If you answered "other" above, please explain:
Have you ever been convicted of abuse or neglect of a child or animal?
No
Yes
If yes, please explain:
What arrangements will you make for the care of your pets in case of an emergency?
Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
If you answered "other" above, please explain:
What will you do with the animal when you go on vacation?
Leave with family/friend
Boarding
Pet sitter
Take with me/us
Other
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the rabbit(s)?
What would you do with your animal if you had to move?
Take him / her with me
Give to family or friend
Return to shelter
Other
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-15 years?
No
Yes
If no, please explain:
Will you allow us to perform home checks or send pictures of your rabbits setup?
No
Yes
I have read the foregoing 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. You are also aware that we cannot guarantee the health and temperament of the animal.
Yes
No
Friends of Unwanted Rabbits FriendsofUnwantedRabbits.org FriendsofUnwantedRabbits@gmail.com