MS Word - Tampa Bay House Rabbit Rescue
Are you interested in a specific rabbit? If so, please state his/her name here:
If you do not have a rabbit in mind, don’t worry, we will help you find some wonderful candidates for your new family member!
First, let’s get the nuts and bolts out of the way, here are a few of the basic questions about you:
Name of the primary owner of the bunny:
Age:
Is the person filling out this application different than listed above? Please do not go any further, have the primary caregiver of the rabbit fill out this form, please!
Best email address to reach you at (this is our primary form of communication, so please list one you check regularly):
Home address:
Own or Rent?:
If you rent, please provide the name and number of your landlord, we will be contacting them:
Phone:
Cell Phone:
Are you working:
Full Time ____
Part Time ____
Unemployed ____
Work at Home ____
Will anyone else be helping to care of the bunny? Please list them below (add more lines if needed):
Name:
Age:
Any children or other people living in the home? If so, please list them below (add more lines if needed):
Name:
Age:
Role they will play in rabbit’s life:
Is everyone in the home in agreement about adopting a new pet?:
Does anyone in the home have any allergies to animals, hay, grass or anything else?:
If the answer is yes, please specify:
Now let’s hear a little bit about your home. We want to make the absolute best match for you, so please be as detailed as possible so we can find you the perfect new bunny!
Besides any children listed above, will the bunny be interacting with any kids?:
If the answer is yes, please list ages here:
Do you have any other pets?:
If the answer is yes, please fill out the below, adding more lines if necessary:
Name:______________ Species: _____________________ Spayed/Neutered?________
If you have pets, where are they living?:
Indoors ________
Outdoors ________
Indoor/Outdoor ________
Other: __________________________________________
If you have no other pets, will this be your first pet?:
Have you ever had a rabbit before?:
If the above answer is yes, please describe the situation, and how the rabbit(s) came to no longer live with you.:
Have you ever turned an animal into a shelter or rescue group?:
If the answer is yes, please describe the circumstances:
Do you have an exotics/rabbit savvy veterinarian?
If so, please fill out the below:
Name: __________________________ Practice: ________________________________
Phone number: ______________________________ Years Treating Your Pet(s): ______
Rabbits are more expensive to vet than a cat or dog, are you willing to take on this financial responsibility?:
How long have you been considering getting a rabbit?:
What literature have you read and what websites have you researched about rabbits?:
What are the circumstances on which you would give up your new pet?:
Now it is time for the fun part! Tell us about what kind of life you want to give your new bunny:
What kind of housing will you use?:
What litter will you use?:
What hay will you feed?:
What veggies will you feed?:
What pellets will you feed (if any)?:
How will you bunny-proof your home?:
How many hours a day will the rabbit spend in it’s enclosure?:
What will a typical day look like for your rabbit?:
How do you want to be able to interact with your rabbit (examples: will you be happy spending floor time with your bunny, or do you want them to be able to be picked up? Do you want a couch potato bunny, or one that you can train to do agility?):
Do you have any desire to bond your rabbit in the future?:
Would you consider adopting an already bonded pair of rabbits?:
Do you have any specific characteristics in mind for your new family member? Such as age, breed, color, etc. We look at matching personalities above all else, but knowing where you are coming from will help us help you:
Please tell us why you are interested in adopting? Check all that apply:
___ Companion for Self ___ Companion for Family
___ For Breeding ___ Gift
___ For Child ___ Companion for Other Pet
___ Replace Previous Pet ___ Show/4H/Agriculture
___ Other, please specify ___________________________________________
This will be a completely new environment with new people for your bunny. How long are you willing to give them to adjust to their new home?:
Rabbits can live very long lives, 10-15 years, what life changes do you expect in that timeframe?:
With the above question in mind, will you be able to commit to your new rabbit for 10-15 years?:
If the answer to the above question is no, we will be more than happy to have you foster for us instead. Fostering is as short or long term as you would like, and you will be helping to save lives!
Is there anything more you would like us to know?:
