Adoption Application - Rabbit
Animal you are interested in adopting
Belatrix (Rabbit - N2022741-CV)
Speckles (Rabbit - N2022738-CV)
Tonks (Rabbit - N2022731-CV)
Wild Man (Rabbit - N2022742-CV)
Type pet name(s) of others interested in.
Individual or Couple
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Individual
Couple
Primary's First Name
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Primary's Last Name
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Primary's Date of Birth
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Primary's Cell Phone
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Home Phone
Primary's Email
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Confirm email
Secondary's First Name
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Secondary's Last Name
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Secondary's Date of Birth
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Secondary's Cell Phone
Secondary's Email
Street Address
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City
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State
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PA
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
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About Yourself
Why do you want to adopt this rabbit?
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Who will be this pet's primary caregiver?
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Do all members of your household favor having this pet?
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Does anyone in the household have allergies to animals or hay?
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Do you own or rent your home?
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Rent
Own
Have you had rabbits before?
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No
Yes
Do you have a rabbit now?
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No
Yes
How much time do you plan to spend on/with your rabbit daily?
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Where will your new rabbit live and roughly how many square feet will he/she have access to?
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Are you willing to take your rabbit to the vet for an annual checkup? Rabbits require specialized veterinary care.
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Do you have the name of a qualified vet?
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If not, we can help you find a rabbit savvy vet in your area.
Please take picture of Primary's Driver's License
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