Rabbit Adoption Application

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providing a safe haven to abused, abandoned, and neglected domestic rabbits and others
P.O. Box 7, Whittaker, MI 48190 • (734) 461-1726 •
Rabbit Adoption Application
NAME: _________________________________________________________________________________________________
(Must be at least 18 years old. If adopter is a minor, parent or guardian must complete this form.)
STREET ADDRESS: _______________________________________________________________________________________
CITY: ________________________________________________STATE: ____________________ ZIP: ___________________
DAYTIME PHONE: _____________________________________EVENING PHONE: __________________________________
EMAIL: ______________________________________________
Do you own or rent your home? ___________________________If rent, does your lease allow rabbits? _____________________
Name of landlord: _________________________________________Phone number of landlord:___________________________
May we contact landlord? ____________________________________ Are rabbits legal in your city? ______________________
Rabbit will be kept (circle one)
indoors or outdoors.
Can you adopt more than one? ______________________________
Describe the housing you intend to use: ________________________________________________________________________
_________________________________________________________________________________________________________
Describe the opportunities for exercise the rabbit will have: ________________________________________________________
_________________________________________________________________________________________________________
Describe the companionship of people and other animals that the rabbit will have: ______________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Describe the diet you will provide: _____________________________________________________________________________
Have you had a rabbit before? ________________________________________________________________________________
What happened to him/her? _________________________________________________________________________________
Why do you want a pet rabbit? _______________________________________________________________________________
Do you have other pets? _______________ What kinds, how many and what are their ages? ______________________________
_________________________________________________________________________________________________________
Do you have a vet? ___________________ May we contact your vet? __________________
Veterinarian’s name: ______________________________________________________ Phone #:__________________________
On an average work/school day, how many hours is no one at home? _______________________________
What will the rabbit do during this time? _______________________________________________________________________
_________________________________________________________________________________________________________
Name of rabbit(s) you wish to adopt (if known): __________________________________________________________________
Signature ___________________________________________________________________ Date _________________________
Applicants who are approved for adoption will be contacted promptly. Thank you!

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