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.
Street Address, City, Province, Postal Code
Adopter's Age Caegory
0 - 18 years
19 - 25 years
25 - 45 years
45 - 65 years
How many people reside in your household?
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 currently not employed.
Select the answer that best describes your living status.
I live in a single family home.
I live in a townhouse.
I live in a condo/townhouse.
If you rent your living space, do you have your landlord's permission to keep a rabbit?
Do any members of your household have allergies to animals or hay?
I don't know
Who will be mainly responsible for caring for the rabbit?
Myself - the adopter
One or more of my children
Care will be shared by household members
What is the age of the primary care giver?
under 10 years
11 - 18 years
Have you had a rabbit previously?
Do you want a rabbit as a companion for one that is currently your pet?
How long have you been looking into adopting a rabbit?
Have you looked into the requirements of rabbit care?
Why do you want a rabbit as a pet?
If your rabbit became sick or injured how much would you be willing to spend on veterinarian care?
not more than $100
$100 - $200
$200 - $400
If you have one, what is the name of your veterinarian?
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
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 a rabbit from VRRA, under what circumstances would you want to return it?
Would you be willing to let a VRRA representative visit your home by appointment to observe the rabbit's environment?
Have you ever been charged with neglect or cruelty to animals?
Are you a permanent resident of Canada?
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