House Rabbit Society of MD, DC, and NoVA Adoption Application
Thank you for your interest in applying to adopt a rabbit or rabbits from the House Rabbit Society. Please fill out this form to the best of your ability.
In one or two sentences, please tell us why you are interested in adopting a rabbit at this time. *
Your answer
Have you read and understood the Adoption Policies? *
You can view the Adoption Policies at http://rabbitsinthehouse.org/?p=74
We require a home visit for all adoptions, do you agree to this? *
A home visit is when House Rabbit Society volunteer comes to your home to provide advice on bunny proofing and to answer any questions you have before your rabbit comes home to you.
Have you adopted from us in the past? *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
ZIP Code *
Your answer
Telephone Number (digits only) *
Your answer
Email Address *
valid email address required
Your answer
Please confirm that you are at least 18 years of age. *
Name(s) of the rabbit(s) you are interested in (if applicable) you can find them on PetFinder at the following link (http://rabbitsinthehouse.org/?page_id=168)
Your answer
I live in a(n): *
My living arrangement is: *
Please list all human members of your household with the ages of any members under 18. *
Your answer
Who will be the primary caregiver for the new rabbit? *
Your answer
Age of primary caregiver. *
Please select the appropriate range
Does any member of your household have allergies to animals? *
If yes, please describe:
Your answer
Are you moving in the next 6 months? *
If yes, please describe and let us know how this might impact your rabbit:
Your answer
Do you currently have a rabbit or rabbits? *
If yes, please describe where in your home they live and what type of housing they have.
Your answer
Please include a description of their diet.
Your answer
Please describe where in your home your new rabbit will live and what type of housing they will have. If you already have a setup, please send an email with pictures of it to adoption@rabbitsinthehouse.org. *
Your answer
Please describe a typical day in the life of your new rabbit. *
Please include how many hours he or she will have out side of the planned housing, how many hours you plan to interact with the rabbit, and where that interaction will take place.
Your answer
Are you able to provide medical care for your rabbit? *
Please provide your veterinarian's name and phone number. *
Your answer
Do you currently own any other pets? *
If yes, please list all pets, including rabbits.
Include species, sex, age, neutered/not, how long you have owned them, and location in home.
Your answer
Please tell us about all of the other pets you owned in the past 10 years and why you have stopped owning them. *
Your answer
Have you ever re-homed a pet? *
If yes, please tell us the circumstances surrounding the re-homing.
Your answer
Have you ever brought an animal to a shelter? *
If yes, please tell us the circumstances.
Your answer
How did you find out about the House Rabbit Society? *
Your answer
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This form was created inside of House Rabbit Society Baltimore - DC Chapter INC.