Adoption Application

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Please be advised that a home visit may be required before this application can be processed. We reserve the right to refuse this application. Please answer all questions in full for your application to be considered.

Email *

Applicant's Name (full name please) *

Phone number - PLEASE use 111-222-3333 format in your answer. *

A phone interview is required as part of the adoption application.

Street Address *

City *

We have two shelters. One in South Surrey (White Rock) and one in Vancouver. Which shelter would you prefer to visit? *

Vancouver

South Surrey

Either

Is there a particular rabbit that has caught your interest? If so, which one?

Adopter's Age Category - we only adopt to adults *

19 - 25 years

26 - 45 years

46 - 65 years

over 65 years

How many people reside in your household? Are these people family or roommates?

If you have children please provide their ages. *

Select the answer that best describes your employment status. *

I am employed working outside the home.

I am employed and work from home.

I am a student.

I am unemployed

I am retired

Required

What best describes your living situation *

single family home.

townhouse

apartment

shared living space

other

If you checked "other" above please explain

Do you you Rent or Own your home?

Rent

Own

Clear selection

If you rent your living space, do you have your landlord's permission to keep a rabbit? *

Yes

Not sure - (check with the landlord)

Do any members of your household have allergies to animals or hay? *

Yes

I don't know - We strongly suggest you have allergy tests before getting a rabbit.

Who will be mainly responsible for the rabbit's care? *

Myself - the adopter

One or more of my children

Care will be shared by household members

Other

If you checked "other" above, please explain.

What is the age of the primary care giver? *

under 10 years

11 - 18 years

19+ years

Have you had a rabbit previously?

Yes

Clear selection

Do you want a rabbit as a companion for one that is currently your pet? Please note that to meet another rabbit your rabbit must have been neutered or spayed for at least 4 weeks.

Yes

Clear selection

If the above answer is Yes - is your rabbit:

male

Female

neutered/spayed

under a year

adult

senior

used to being with other rabbits or other pets

more information follows

Further information about your rabbit

Do you have other pets? Please list and are they neutered/spayed if appropriate.

How long have you been looking into adopting a rabbit? *

Have you read about rabbit care on our website? *

Yes

Why do you want a rabbit as a pet? Please explain. *

If your rabbit requires veterinarian care what are you willing to spend. Note: average vet visit is $75 for exam and does not include medications or treatment. *

not more than $100

$100 - $200

$200 - $500

$500+

If you have one, what is the name of your veterinarian clinic?

Which of the following best describes how you plan to keep your rabbit? *

Outside in a hutch or pen

Inside confined to a cage

Inside to roam freely throughout the house

Inside, confined to a pen or room

Inside, sometimes caged and sometimes confined to a pen or room

Inside, sometimes caged and sometimes roaming freely throughout the house

Other

If "other" selected in the previous question please explain briefly.

How many hours during the day will the rabbit be left without people around?

If you have surrendered a pet to an animal shelter in the past please indicate the reasons *

If you adopt from VRRA, under what circumstances would you want to return the rabbit? *

Would you be willing to let a VRRA representative visit your home by appointment to observe the rabbit's environment? *

Yes

Have you ever been charged with neglect or cruelty to animals? *

Yes

Are you a permanent resident of Canada? *

Yes

How did you find our rescue? *

friend

internet search

referral from a veterinarian

Facebook or Instagram

one of our events

Other:

If other explain below.

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