Adoption Application

Thanks for visiting!
Name
Address
City
State
Zip
HomePhone
 Cell Phone
 Email
Please tell us why you are interested in adopting a rabbit
I have reviewed Ohio House Rabbit Rescue's adoption policy
I am over 18 years old.

Household Information
Housing:
 Have you received your landlord's approval?
 How long have you lived at this address?
Landlord's Name
Landlord's Phone
My household consists of: Adults Only
Family with children over 10 years old
Family with young children under 10 years old
Live alone
Please provide the names and ages of everyone living in your home. For example: Ron, spouse, over 21; Beth, daughter, 13, etc.
Name Relationship Age
Has anyone in the household:
Been convicted of animal neglect or cruelty in any local, state, or national jurisdiction
Yes
No
been involved in breeding rabbits for sale
Yes
No
The activity level in my home is
Quiet
Active
Hectic
I am...
rarely home (sleep there only)
at home when not at work
home all day (or someone is there)

Pet Ownership & History
Current pets in household:
Type of pet Age Sex Altered
(Spayed/Neutered) 		Kept
In/Out/Both 		How Long
Owned
Please tell us about your past pets:
Type of pet How Long Owned Reason No Longer Owned
Who is your veterinarian?
Phone
Does anyone in your household have an environmental or animal allergy to rabbits, hay, or grass?
Rabbits Yes No            Hay Yes No            Grass Yes No
Does everyone in the household agree with getting a new rabbit?
Yes No
What kind of research have you done to learn about this kind of animal's needs?
Who will be directly responsible for your rabbit's care/feeding/handling?
How and where will you house your new rabbit? Please describe in detail the size and location of your new rabbit's habitat.
Would you consider adopting an older, shy, or special needs rabbit? Check all that apply. Older
Shy
Special needs
Would you consider adopting a bonded pair? Yes
No
Is there a particular rabbit that you are interested in? .
How did you learn about us? word of mouth/friend
Website
Newspaper
Television
Radio
Other
Under what conditions would you feel it necessary to find another home for your rabbit?

I certify that all of the information in this application is true and I understand that false information may void the adoption and future adoptions from Ohio House Rabbit Rescue, Inc.

I agree that if I can no longer care for this rabbit, I will return this rabbit to Ohio House Rabbit Rescue, Inc.

Signature
 Date

Ohio House Rabbit Rescue, Inc. reserves the right to deny adoptions. Our priorities are the health, safety, and future well being of the rabbits in our care and the health, safety, and expectations of people who visit us with hopes of finding a pet who will match their interests, lifestyle, and existing companion animal(s).

This section completed by Ohio House Rabbit Rescue staff
Initial Interview conducted - Date:
By:
Notes
Adoption Coordinator has reviewed these topics with adopter: Housing/special requirements
Diet/nutrition
Behavior
Veterinary care/health problems/costs
Longevity
Costs of Food & Supplies
Comments
Adoption finalized? Yes
No
If no, Why not?
Adoption Follow-up
Date of staffer's follow-up call:
 Forwarded to Behavior Department?
Yes
No
Notes:
Entered into database on
 By


Please fill all the required fields

 

Check out the four articles written  by Phyllis O'Beollain on herbs for bunnies read more...

WBNS-10TV features "Make Mine Chocolate!" message and features adoptable bunnies. read more...

Click here to see our upcoming events

 

  • Luv Some Bunny Wine Tasting    March 24, 2012
  • Midwest BunFest - October 27, 2012