Turtle Hill Farm of VT Animal Sanctuary, Inc. Adoption Application Please return the completed application to: 631 Town Hill Rd., Reading, VT 05062 or email to: lucywgoodrum@earthlink.net *Adopters must sign an adoption contract. Because of the contractual agreement, THF must only adopt to individuals over age 18. If you are under 18, and interested in one of our rabbits, you must have a parent or guardian adopt them with the guardian being the primary caregiver of the pet. Potential Adopter Information Name Age _________________________ Street _________________________ PO Box/ Apt __________________________ City, St, Zip ______________________________ Occupation ________________________________ ___________________________ Best time to contact you and at which number? _______________________________________________ Spouse/Significant Other/Roommate ____________________ Phone _____________ Occupation _______________________________________ _________________________ Home Phone Work Phone Cell Phone E-mail Employer Age ______ Work Employer Type of Housing: □ Rent Home □ Rent Apartment □ Own Home □ Other ________________ If you rent, does your lease allow for rodents and other pets? _____ Please include a copy of the portion of the lease that allows this or have the land lord send a letter confirming that you can add a rabbit to your family. Are you planning on moving soon? ____ Please list all others in the household along with their ages Name Age Does anyone have allergies to animals? ________ If yes, what kind? ______________________________ Current veterinarian ______________________ Clinic ___________________ Phone ______________ Does this veterinarian have experience with rabbits? ________ If no, do you plan on taking the rabbit(s) to another veterinarian? ______ If yes, whom do you plan on using? ________________________ Phone ______________ What is the reason for adopting this/these rabbit(s)? □ Companion for other pet □ For children □ Gift □ Companionship □ Breeding □ Classroom use □ Other _____________________ Do the other adults in your household know you are planning to adopt and are OK with it? Does any one in the household smoke inside the home? ______ Do you have a preference for breed, age or sex? ________________________________________________ Do you want a single rabbit or a non-mating pair? Please note that if you do not already have a rabbit in your home, we require that you adopt a pair. Are you interested in any particular rabbit(s)? _____ _________________________________ Whom? Are you interested in taking a special needs (due to health or temperament problems) rabbit? _____ If so, which one(s)? Pet History/Experience/Plans Please list all current pets in your household Name Species Sex Altered and/or Y/N? Breed Age How long Where kept owned Please list all pets owned in the past ten years. Include: name, species/breed, sex, when and where you got them, if altered, age of pet when you stopped owning him/her and how you stopped owning him/her. Have any of your pets had offspring? _____ If yes, what did you do with the offspring? How will you house your rabbit? If in a cage, have you purchased a cage yet? _____ If yes, please describe it. Exact dimensions in inches and composition (metal, plastic, etc.) Please note that the minimum cage size for two rabbits is 36”w by 36”d by 24”h, preferably larger. Rabbit cages must have a solid surface and a litter box. Where will your rabbit be kept? □ Outside □ In garage □ Covered outside area □ In house If in house, which room? ______________________ Who will be primarily responsible for the rabbit(s) care? ________________________________ Who will do each of the following: feed, clean, take to vet, play with or hold? How much adult supervision will there be? How much time will be allotted for care and how much for attention? Are you familiar with rabbits’ needs for: Food/Water ______ Socialization/Exercise _____ Vet Care ____ If you already have a rabbit please describe their current diet, including frequency of feedings? On what type of bedding do you plan to keep your rabbit(s)? □ Cedar □ Pine □ Kiln dried pine □ Aspen □ Newspaper □ Shredded newspaper □ Pelleted litter (Ox-Bow Eco-Straw, Pets Preference, etc.) □ Recycled paper based litter (Carefresh, Pets Preference, etc.) □ Corn cob □ Other _______________ What do you plan on feeding your rabbit(s)? How much money are you willing to budget toward the care of your rabbit(s) per week? ________ Why? How often do you plan on taking your rabbit(s) to the vet? How much are you willing to spend in a medical emergency for a rabbit? __________ Explain why you want a rabbit as a companion? Do you plan on showing the rabbit(s)? ________ Would you like to breed rabbits now or in the future? □ Yes, now □ Yes, later □ No □ It would be nice to have babies in the future Describe how the rabbit(s) would be tended to or how it would travel when you go away for vacation or business trips. Please describe the level of research you have done on rabbits (check all that apply). □ None yet, just getting started □ What I was told at the pet store □ What I was told by the breeder □ What my friends have told me □ Books on rabbit care □ Preliminary internet research □ Moderate internet research □ Extensive internet research □ Other _______________________ How long have you been thinking about or searching for guinea pig(s)? How did you hear about Turtle Hill Farm of VT Animal Sanctuary? If the rabbit is “for the children,” do(es) the child(ren) have access to the Internet for research and posting on forums? ________________________________________________________________________ ______ References – Please list one non-related personal reference. Please list one non-relative personal reference. Name ____________________________________ Address ___________________________________ City, St, Zip ________________________________ Phone ____________________________________ Best time to contact at above number ____________ E-mail ____________________________________ Do you have any additional comments? Thank you for taking to the time to fill out this application. The extensive detail of this application is to ensure permanent, caring and responsible homes are found. Signature ______________________________________ Date __________________