Ohio House Rabbit Rescue Foster Home Application

PERSONAL INFORMATION

ABOUT YOUR HOME

ABOUT YOUR FAMILY

EXPERIENCE

CURRENT PET INFORMATION

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Thank you for your interest in providing a foster home for a rescued rabbit. Please complete the on-line Foster Home Application below. Once your application is received, the Foster Care Coordinator will contact you either by telephone or email within 72 hours. If you do not hear from Ohio House Rabbit Rescue, the system did not receive the application. Please notify Ohio House Rabbit Rescue via email at contact@ohiohouserabbitrescue.org

* Denotes required field

Full Name:

Home address:

City:

State, Zip

Daytime Phone number:

Evening Phone number:

E-mail address:

I am over 18 years old:

Occupation:

Current employer & length of employment:

Do you rent or own your home:

If you rent, have you received your landlord's approval:

Please provide landlord's name:

Please provide landlord's phone number:

How long have you lived at this address:

Please list the names of all adults and older children (over 18) living in your home:

Please list all children under 18 in your home and their ages:

Is anyone in your home allergic to rabbits?

Is anyone in your home allergic to hay?

Is anyone in your home allergic to grass?

Have you ever been a caregiver to a rabbit before?

If yes, where does/did the rabbit live:

Who will be the main person responsible for the daily care and cleaning of the rabbit:

Is everyone in your home comfortable with fostering a rabbit?

Where will you be housing the foster rabbit:

What exercise and interaction will you give the foster rabbit and how often:

What toys and activities are you able to provide for the foster rabbit:

How much time do you anticipate being able to spend with or caring for your foster rabbit each day:

How many hours each day will the rabbit be let out of the confined area:

Are you aware of the symptoms or signs of a sick/injured/distressed rabbit?

Do you have experience with a sick or injured rabbit?

Do you have a vehicle?

Are you able to take the rabbit to a veterinarian should the rabbit require medical attention?

What will you do with your foster rabbit if you go away for a weekend/holiday/business trip:

Species/Breed

Spayed/
Neutered

Had how long?

Up-to-date
on vaccs?

I do not have any pets at this time

I do not have a veterinarian at this time

Name of your veterinarian:

Veterinarian's address:

Veterinarian's phone number

PERSONAL REFERENCES
Name:	Relationship	Phone number:

Explain why you are interested in fostering a rabbit:
How did you find out about Ohio House Rabbit Rescue:
By clicking the Submit button below, I certify that: the information I have given is accurate I understand that Ohio House Rabbit Rescue has the right to deny any application I give permission for a representative of Ohio House Rabbit Rescue to call the references and veterinary practice I have listed.

Please fill all the required fields

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