House Rabbit Resource Network
    Online Adoption Application

    ALL FIELDS ARE REQUIRED

    General Information

    Rabbit (s) you are applying for:

    Are you looking for a partner for your rabbit?

    If yes, is your rabbit current on their RHDV vaccination?

    Your First and Last Name (required)

    Address (required)

    City (required)

    State (Texas Only)
    Zip

    Primary Phone (including area code)
    homeworkcell

    Alternative Phone (including area code)
    homeworkcell

    Best time to contact you? (required)

    Your Email (required)

    Living Arrangements: (check one)
    HouseApartmentCondo/TownhomeMobile HomeOther

    Do you: (check one)
    OwnRent, Live w/spouse or roommatesRent, live aloneLiving w/parentsStudent

    How long have you lived at this address?

    List all adult/children members of household (including ages of children):

    Does any member of your household have any known allergies to animals? yesno

    If yes, please describe:

    Do we have permission to visit your home? yesno

    If not, please give a reason:

    Pet History

    Do you currently have any other pets? yesno

    If yes, please describe (include all animals including roommates' animals), type, age, sex, spayed/neutered, kept indoors or outdoors, had how long?

    Your veterinarian's name and telephone number:

    Is your veterinarian experienced in treating rabbits? yesnodon't know

    List pets owned in the past 10 years, other than those listed above. Include type, age, sex, spayed/neutered, kept indoors or outdoors, had how long, when you stopped owning the animals and reason:

    Have you ever surrendered an animal to the shelter? yesno

    Do you anticipate moving soon? yesno

    If yes, when? ,

    Rabbit-Specific Questions

    Please state reason for wanting a rabbit as a companion:

    Where will you keep your rabbit when you're not home?

    How much time per day will you be able to interact with your rabbit?

    If you suddenly relocated or had other drastic lifestyle changes that made it hard to keep your rabbit, what would you do with him/her?

    Who will care for your rabbit when you go out of town, or in case of an emergency?

    If your rabbit becomes seriously ill or injured and your veterninarian says expensive medical treatment is needed, what will you do?

    Do you plan to have your rabbit spayed or neutered? Why or why not?

    Have you ever lost a pet? What did you do to find him/her?

    To provide food and medical care for this rabbit, I anticipate spending yearly:

    In terms of training and care, do you think a rabbit will require more, less, or about the same amount of time and effort as a cat?

    Since rabbits tend to chew, how will you bunny-proof your home?

    Will your rabbit be caged? size of cage? Material cage constructed of?

    Will cage be kept indoors? Which room?

    If outdoors, where will cage be in relation to the house, and where in relation to shade and shelter from wind and rain?

    How much time will the rabbit be uncaged? Indoors and/or outdoors?

    How many hours per day will your rabbit spend alone?

    Where will the rabbit sleep at night?

    What kind of diet will you provide for your rabbit? What brand of pellets, what kind of hay, which vegetables, what kind of treats?

    Are you committed to taking full responsibility for your rabbit's health and welfare for the rest of its life, which could be 10 years or more? yesno

    How did you hear about House Rabbit Resource Network? (please be specific)

    Any comments or questions:

    I certify, I am 18yrs. of age or older, live within driving distance of Austin, Tx. I have read House Rabbit Resource Network's Adoption FAQ and How to Adopt. I also verify the information provided is true and accurate to the best of my knowledge.

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