Rabbit Adoption Questionnaire

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Please fill out a questionnaire below and we will contact you with more information. If you have any additional questions, please contact us at eastbayrabbit.org.

Email *

First Name *

Last Name *

Phone
*

Text ok?

Yes

Address Line 1

Address Line 2

City *

State
*

ZIP/Postal Code

Are you 18 years or older (required)?
*

Please be prepared to show valid ID at the time of adoption.

Yes

Required

Please tell us about why you want to adopt a rabbit:

What qualities and personality are you looking for in your pet rabbit?

Is there a specific rabbit you are interested in?

How much time do you plan to spend with the rabbit?

How many rabbits do you currently have?
*

Housing and living arrangements:

Do you currently own, rent, or lease your home?
*

Own

Rent

Lease

If you Rent or Lease your home: do you have permission from your landlord?
*

Yes

Not Applicable (I own my home)

How many adults live in the home?

How many children live in the home?

Ages of the child/children?

Are there other children who visit the home regularly?

Grandchildren, Friends, Daycare, Homeschool, etc.

Yes

Clear selection

Do you have other pets, or animals that visit your home?
*

Yes

Please list any other animals in the home or that visit regularly, including type/breed/age *

Does anyone in your home have allergies to rabbits or hay?
*

Yes

Maybe

As a Responsible Rabbit Owner:

Where will the rabbit stay during the day? Describe:
*

Where will the rabbit stay during the night? Describe:
*

I understand and agree to the following: *

I will provide my rabbit with good care, including making sure my rabbit has appropriate food, water, shelter, veterinary care, indoor-only exercise, toys and attention.

I have considered the time and financial demands of having a rabbit. I understand that caring for a rabbit can cost approximately $40 a month and that I need to set aside time each day to care for rabbit to keep her/him healthy and happy.

I understand that rabbits are intelligent animals who require a minimum of 3-4 hours a day of free roam time to socialize with their family. I will make my rabbit an important part of my life and family.

Yes

I certify that the above information is true and correct to the best of my knowledge. I understand that East Bay Rabbit Rescue reserves the right to deny the adoption of any animal.
*

Yes

A copy of your responses will be emailed to the address you provided.

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