Please fill out this two-part form to provide your contact information and the rabbit's information. ALL FIELDS ARE REQUIRED except “notes.” If you would like to send any photos of the rabbit please email to info@esrrec.org.

The surrender fee is $25 per rabbit. We have limited space and therefore you may be placed on a waiting list.  At this time we only accept surrenders from the eastern shore of Maryland.

Please hit NEXT button to fill out the two parts of the form.