OHRR Adoption Application - Ohio House Rabbit Rescue

Name:

First

Last

Address:

Street Address

Apt, Suite, Bldg. (optional):

City:

State / Province / Region:

Phone Number:

Email:

Please tell us why you are interested in adopting a rabbit.

Agreements

I have reviewed Ohio House Rabbit Rescue’s adoption policy, and I understand that the rabbit must live in a minimum space of 4′ by 4′.
I am over 18 years old

Do you own or rent your home?

Own
Rent

Have you received your landlord's approval?

Yes
No

How long have you lived at this address?

Landlord's Name:

Landlords Phone Number:

My household consists of:

Please provide the names and ages of everyone living in your home.

For example, Ron, spouse, 42; Kate, daughter, 13; Bill, roommate, 35

Do you have reliable transportation to get a rabbit to emergency and regular vet visits?

Yes
No

Could you briefly share your approach to covering the costs associated with caring for a pet rabbit? This includes emergency and regular veterinary care, nutrition, and other essentials.

Does anyone in your household have an environmental or animal allergy to:

Rabbits
Hay
Grass
None

Has anyone in the household been convicted of animal neglect or cruelty in any local, state, or national jurisdiction?

Yes
No

Has anyone in the household been involved in breeding rabbits for sale?

Yes
No

The activity level in my home is:

I am…

Who is your veterinarian?

Veterinarian's Phone Number:

Please list information about all current pets in the household, including the type of pet, breed/dominant breed, age, sex, how long owned, type of housing, and if they are altered (spayed/neutered).

Please list information about all past pets, including the type of pet, how long owned, and reason no longer owned.

If your current pets are NOT spayed or neutered, please share your reasons why.

Are your current pets up-to-date on vaccinations?

Yes
No
I do not have any current pets

Does everyone in your 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
Not sure

Is there a particular rabbit that you are interested in?

How did you hear about us?

If Other:

Under what conditions would you feel it necessary to find another home for your rabbit?

What steps would you take to plan ahead so that you do not have to surrender 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

mm/dd/yyyy