Adoption Application

February 4, 7:16 pm

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Rabbit Adoption Application

For a printable version please click here. Please note: You must be at least 18 years old. If adopter is a minor, a parent or guardian must complete this form.

Our Adoption Coordinator will review your application and contact you. We reserve the right to decline your application for any reason.

APPLICANT:
CO-APPLICANT:
CONTACT
Home phone:
Mobile phone:
Work phone:
Other phone:
E-mail:
Mailing Address:
street:
city:
state:
zip:
RESIDENCE
street:
city:
state:
zip:
landlord name:
phone no.:
Are rabbits allowed?
Years at this address:

How did you hear about GLRS?
Please list the names and ages of everyone living at this address:

Please list the names, ages, and species of any pets at this address:

BACKGROUND
Are you over 18?
Applicant’s Employer
Length of Employment
Co-Applicant’s Employer
Length of Employment
Have you had a pet rabbit before?
If so, what happened your rabbit?

Why do you want to adopt a pet rabbit?

Veterinarian
Phone No.
Clinic
May we contact your veterinarian?
ADOPTED RABBIT'S CARE
What type of housing will you provide?

What type of diet will you provide?

How many hours will the rabbit be alone at home?
Who will be the primary caretaker?
Where will the rabbit be kept? (inside, outside, what room in the house)