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PK Rabbit Program Adoption Form
General Rabbit & Guinea Pig Adoption Form for PK Rabbit Program
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* Indicates required question
I have read the basic care guide that was provided and agree to follow Peaceable Kingdom' care standards.
*
I agree
I disagree
I did not read the basic care guide
Name of Desired Animal
*
Your answer
Full Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
E-mail Address
*
Your answer
Date of Birth (Must be 18+ to adopt)
*
MM
/
DD
/
YYYY
Number of People In Household
*
Your answer
Number of Children in Household (and ages)
*
Your answer
Are you or any member of your family allergic to pets and/or hay?
*
Yes
No
What would you do if a family member develops allergies?
*
Your answer
How long have you been thinking of adopting a bunny/guinea pig?
*
Your answer
Does everyone in the home want to adopt a rabbit/guinea pig?
*
Yes
No
Are you aware that some bunnies/guinea pigs require a period of weeks or even months to adjust to their new home/environment/family/other pets? Are you willing to allow for this adjustment period?
*
Yes
No
Are you presently
*
Employed
Student
Retired
Unemployed
Name of Employer (write N/A if needed)
*
Your answer
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