Safe Haven Rabbit Rescue Online Adoption Application

Please read thorough our Adoption Policy prior to completing this application.  Please fill this application out completely, including your email address and a phone number where you can be reached.   You must be 21 years old or older.  The information requested on this form is needed to ensure the best match between rabbit and potential adopter.  Your information will remain confidential and private - we will never distribute your information to another party.  

**Please note:   Forms submitted using 'Foxfire' are not being received.   Please submit forms using Internet Explorer or Netscape.   Thank you!


  

Are you interested in a particular rabbit or rabbits? If so, who?

Your full name

  

Address

  

City

   State         Zip     

Email address - please double check your entry as this is how we will initially contact you!

  
Telephone number
When is a good time to reach you at this number?
Where do you live?  
If you rent, does your landlord allow pets?  
Please list all human members of your family, including the ages of any children.
Does anyone in your family have any known allergies to animals?  
Does anyone in your household ever smoke inside your house?  
Please tell us about any pets that currently live in your household (including name, age, gender, spayed/neutered, where kept?)
Have you ever shared your home with a rabbit before?  
If yes, whose is/was he?
Do you still live with this rabbit?
If no, what happened?
Have you ever brought an animal to the animal shelter?  
If yes, please describe the circumstances.
Why do you want to adopt a rabbit companion?  
Who will be the primary caretaker of the rabbit?
What area of your home will be the rabbit's main living quarters?  
Approximately how much do you anticipate spending yearly to provide food, housing and medical care for your rabbit?
Do you have a veterinarian?  If so, (please include the veterinarian's phone number.)