Adoption Application

Contact Information

First Name: *

Last Name: *

Address: *

Apt, Suite, Bldg.

City: *

State: *

Zip: *

Email: *

Home Phone:

Cell Phone: *

Best time to call:

Name rabbit(s) of interest: *

Have you had rabbits before?
YesNo

Please provide details:

Why do you want a rabbit as a companion?

Have you surrendered or rehomed any animals?
YesNo

If you have surrendered or rehomed any animals, please explain the circumstances. If you answered no to the previous question, please enter "n/a". *

Where will the rabbit live?
IndoorsOutdoorsBoth

Who is the primary caregiver for the rabbit?

What do you plan to do with the rabbit if your life situation changes and you have to move, work more hours, have a baby etc?

Are you interested in taking a special needs (due to health or temperament problems) rabbit(s)? If “yes”, please elaborate.

Who is your current veterinarian? Do they have any experience with rabbits? If not, whom do you plan to use?

Please tell us more about what kind of home you will provide:

How did you hear about Gainesville Rabbit Rescue?

Do you have any additional comments?