The Rabbit Habit: Adoption Questionnaire

There have been problems with the submission of the on-line Adoption Appication for some internet servers, such as AOL. Those with this service, or who might be having difficulty, might want to complete our Print-out Adoption Application or try to Copy and Paste this Adoption Application into a new email. If you cannot use this form, please go to THIS PAGE for a printable version, and send the completed version snail-mail to:

The Rabbit Habit
PO Box 209
Oreland, PA 19075

If you fill this form out and submit it, however, you do not need to send a printed copy as well.

Please answer all of the questions that apply to you.
Questions with a carrot - REQUIRED - are required from everyone.
Please do not skip any of the other questions if
they are following up on a previous answer.

Name: REQUIRED

Address: REQUIRED

Phone: REQUIRED

Email:

Do you now have or have you ever had a rabbit(s) as a pet? REQUIRED
Yes No

How many rabbits do you have at present?

How many rabbits have you had in the past?

If deceased, what was the cause of death?

For how long did you have your bunny(ies)?

Where do/did you keep your bunny(ies)?

Where will you keep the bunny(ies) you wish to adopt? REQUIRED

Is/was/were your bunny(ies) spayed or neutered?
Yes No

Do/have you use/used veterinary services for your bunny(ies)?
Yes No

If yes, who is your vet? (Include name/address/phone.)

May we contact your vet for a reference?
Yes No

If you have no vet, would you like us to suggest one?
Yes No

How many children do you have? Ages? REQUIRED

Which other pets/animals do you have? REQUIRED

Will you permit us to come to your home to see how REQUIRED
the adopted rabbit will be cared for?
Yes No

Which bunny(ies) do you hope to adopt? REQUIRED

Why do you wish to adopt this/these bunny(ies)? REQUIRED

Who will be responsible for the everyday care of the bunny(ies)? REQUIRED
Age (if under 18)?

Have you ever relinquished ownership of an animal? REQUIRED
Yes No

If yes, under what circumstances?

Have you received a Rabbit Habit information packet? REQUIRED
Yes No

Additional Comments or Questions:

PLEASE CLICK ON "SUBMIT" ONLY ONCE.

Adoption fees are $50 for a single bunny and $45(each) for two or more bunnies. These fees are used exclusively to cover the cost of spaying or neutering. Thank you for your interest in rabbits!!

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