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GOOD SAMARITAN RESCUE/ SURRENDER & RELINQUISHMENT

Please help us provide great care for this animal by thoroughly completing the following information. Thank You!
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Contact Information
Rescuer's name:
Date:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
email
How did you find out about Ohio House Rabbit Rescue:

Other Description:
Please review and sign below acknowledging the following:
  • I am a Good Samaritan who rescued this rabbit. I do not know who the rabbit's owner is.
  • I understand that I will be charged a non-refundable donation of $40/$60 to admit this rabbit to Ohio House Rabbit Rescue, Inc.
  • I understand that Ohio House Rabbit Rescue, Inc. is a nonprofit organization whose mission is to build and operate a Center for rescued abandoned pet rabbits, offer a robust adoption program, and provide educational resources and programming on the proper care of rabbits as indoor companions.
  • I understand that Ohio House Rabbit Rescue, Inc. is a nonprofit organization whose mission is to build and operate a Center for rescued abandoned pet rabbits, offer a robust adoption program, and provide educational resources and programming on the proper care of rabbits as indoor companions.
  • I understand that whether or not this rabbit is made available for adoption is at the discretion of Ohio House Rabbit Rescue, Inc. and if I have questions regarding disposition of this rabbit, I should ask them now.
  • My signature below reflects that I have read and understand the above information and that I am releasing all rights and claims for this rabbit to Ohio House Rabbit Rescue, Inc.
Print Name:
Signature:
Date:

For Office Use Only
Breed:
Color:
Intake Condition:
Age:
Sex:
Intake Date:
Where and under what conditions did you find the rabbit?
If you have had the rabbit in your possession for any period of time, please let us know anything you observed about the following:
Eating habits (What foods, how often)
Behavior (friendly, aggressive, biting, etc)
Litter box habits (using litter box?)
Any health concerns
Did you take the rabbit to a veterinarian? if yes, why and what were the outcomes?
Anything else that would be helpful for us to know?


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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