E-mail Address:

Street Address:

Street Address - Line 2:

City: State: Zip Code:

How long have you been looking for a rabbit?

Are you looking for a particular type of rabbit?

Is the rabbit for you, a family member, or a friend?
The rabbit is for me
The rabbit is for a family member
The rabbit is for a friend

Have you contacted any other rabbit groups?
Yes
No

If yes, which other rescue groups?

Have you done any research on what it takes to care for a rabbit?
Yes
No

If yes, where?

Do you have any rabbits now?
Yes
No

If yes, please fill out the following:

How many? Age Range:

Sex:
Male
Female
I have both males and females.

Are they spayed or neutered?
Yes - all of my rabbits are fixed
Only some of my rabbits are fixed
No - none of my rabbits are fixed

Where are the rabbits kept?

Have you had rabbits in the past?
Yes
No

If yes, please fill out the following:

How many?

Sex:
Male
Female
I had both males and females.

Were they spayed or neutered?
Yes - all of were rabbits are fixed
Only some of my rabbits had been fixed
No - none of my rabbits were fixed

Where were the rabbits kept?

What happened to those rabbits?

What other animals do you have now?

Which are spayed or neutered?

What other animals have you had in the past?

What happened to them?

Do you plan on getting any other animals?
Yes
No

If yes, what kind?

How many children live in your household?

What are their ages?

How many adults live in your household?

Does anyone in your household have allergies?
I don't know
Yes
No

Does anyone in your household have asthma?
I don't know
Yes
No

Is anyone in your household opposed to having a rabbit?
I don't know
Yes
No

Do you own or rent your home?
I own my own home
I rent my home

If you rent, please provide your landlord’s name and phone number:

How long have you lived in your home?

Do you have any plans to move?
I am definitely moving
I am definitely not moving
I might move in the next 6 months
I don't know

What will happen to the rabbit if you move?

Rabbits are much happier living in pairs or threesomes; would you consider adopting more than one?
Yes - I would definitely like to adopt a pair or trio
Maybe - I will consider it
I need to do more research
No - I definitely only want one rabbit

Where will the rabbit(s) live?

Estimate the amount of time the rabbit will be:
Indoors:
Outdoors:
Garage:

Who will be the primary caregiver for the rabbit?

How many hours per day will the rabbit be left alone?

Do you have a rabbit-knowledgable veterinarian?

If yes, please provide name/number:

Are you willing and able to provide vet care, including a yearly well check for your rabbit?

What will you do if your rabbit becomes ill when you have an important work obligation?

If your rabbit becomes ill and it will cost thousands of dollars to treat her, what will you do?

What is your position on euthanasia?

Who will care for the rabbit when you go out of town?

Are you aware that rabbits like to chew and may want to chew the carpet or furniture?

What will you do if they do this?

Is there any behavior you cannot accept in a rabbit?

Under what circumstances would you not be able to keep the rabbit?

How did you hear about our organization?

Are you interested in doing volunteer work or fostering a bunny?

Additional Comments:

Thank you for your interest in our rescued rabbits!

Note: We occasionally experience technical difficulties. If you have trouble submitting the form or would rather call us and do the application over the telephone instead, please contact us at 310-713-2478.