Household Information 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
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 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).