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Adoption Application
Adoption Application
I have read the
Adoption Policies
Yes
No
Your Name
(required)
Are you 18 or older?
Address
Address
(required)
Telephone Number
Email
(valid email required)
CC me on application
Name of rabbit you are interested in (if applicable):
My home is...?
House
Apartment
Condo
Mobile Home
Other
Do you...?
own
rent alone
rent with roommates
List all human members of household and ages of children
(required)
Does any member of your household have any known allergies to animals?
Yes
No
If yes, please describe:
Do you have any future plans that may affect your ability to keep your rabbit(s)?
Yes
No
If yes, please describe:
Are you moving in the next 6 months?
Yes
No
If yes, please describe:
Would you feel comfortable with an HRS foster parent giving a private, in house consultation?
Yes
No
Do you currently own a rabbit?
Yes
No
If yes, please describe your rabbit's diet and housing situation
Do you currently own any other pets?
Yes
No
If yes, please list all current pets (including rabbits) along with species, sex, age, neutered/not, location of animal in home, and how long you have owned said animals
Are you able to provide medical care for your new rabbit? Do you have an idea of what you can spend in a year on medical care?
Yes
No
I have never had a pet before and need some help with planning for medical care
Please provide your veterinarian's name and telephone number
(required)
Please tell us about the pets you have owned in the past 10 years and when you stopped owning them and why
(required)
Have you ever brought an animal to the shelter?
Yes
No
If yes, please tell us the circumstances
Who will be the primary caregiver for the new rabbit?
(required)
Please describe where your rabbit will live and the cage or pen
(required)
Please describe how many hours you plan to let your rabbit interact with you, play outside the cage, and where this will take place
(required)
How did you find out about the House Rabbit Society?
(required)
Please answer the question below to help us prevent spammers submitting applications
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