Adoption Candidate Application
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Are you age 18 or older?
*
Please Select
Yes
No
Please list all people who live in your household including ages of any children:
*
Is anyone allergic to rabbits or hay?
*
Please Select
Yes
No
Who will be the primary caregiver?
*
Do all members of your household favor having a house rabbit?
*
Please Select
Yes
No
N/A
Please describe your normal household activity (amount of time at home, noise level, daily activities).
*
Housing (check all that apply):
*
Own
Rent
Live with parents
Live at school
Other
If "Rent/Other" please answer:
Rows
Name
Number
Landlord
How long have you lived at your present address?
*
Please give us two personal references from people (non-household members) who can attest to your commitment to your animals:
*
Rows
Full Name
Contact Number
Relationship to You
1
2
Back
Next
Who is your current veterinarian?
*
Name
Address
City & State
Zip Code
Phone Number
Do we have permission to contact?
*
Please Select
Yes
No
Do you want to ADOPT or FOSTER? Why?
*
Why are you choosing a rabbit as opposed to another type of animal?
*
Are you looking for:
*
Please Select
Single rabbit
Bonded pair
Companion for your rabbit
How long have you been searching for a rabbit? What type of rabbit are you looking for (personality, gender, and breed)?
*
Describe what you know or learned about rabbits through research (include diet, enclosure, exercise, and bonding with your rabbit).
Please list all animals, including rabbits, currently in the household:
1. Type:
Age
Sex
Please Select
Female
Male
Neutered/Spayed:
Please Select
Yes
No
Where did you get them?
How long have they been with you?
Where are they kept?
Please Select
Inside
Outside
Both
2. Type:
Age
Sex
Please Select
Female
Male
Neutered/Spayed:
Please Select
Yes
No
Where did you get them?
How long have they been with you?
Where are they kept?
Please Select
Inside
Outside
Both
3. Type:
Age
Sex
Please Select
Female
Male
Neutered/Spayed:
Please Select
Yes
No
Where did you get them?
How long have they been with you?
Where are they kept?
Please Select
Inside
Outside
Both
4. Type:
Age
Sex
Please Select
Female
Male
Neutered/Spayed:
Please Select
Yes
No
Where did you get them?
How long have they been with you?
Where are they kept?
Please Select
Inside
Outside
Both
Additional Pets:
Back
Next
Please describe the animals, including rabbits, no longer in your household in the
past 10 years:
1. Type:
Age
Sex
Please Select
Female
Male
Neutered/Spayed:
Please Select
Yes
No
Where did you get them?
What happened to them?
Where were they kept?
Please Select
Inside
Outside
Both
2. Type:
Age
Sex
Please Select
Female
Male
Neutered/Spayed:
Please Select
Yes
No
Where did you get them?
What happened to them?
Where were they kept?
Please Select
Inside
Outside
Both
Have you or anyone in your household ever surrendered an animal to a shelter or rescue or given away your pet?
*
Please Select
Yes
No
If so, describe the circumstances.
Have you or anyone in your household had an animal confiscated or have an animal-related charge?
*
Please Select
Yes
No
If so, describe the circumstances.
If you currently have a rabbit(s), please describe their current diet, including amounts and frequency of feedings.
What are your plans for your bunny's housing? Please give details, including describing the living area size, location, how much play time and interaction with people the bunny will have per day.
*
Are you willing to take your rabbit to a veterinarian who is knowledgeable about rabbits for regular checkups?
*
Please Select
Yes
No
Are you willing to take your bunny to a rabbit-savvy vet (emergency vet if needed) for a medical emergency, such as illness or injury?
*
Please Select
Yes
No
When you leave home on vacations or other trips, how will you provide for your rabbit?
*
What will you do with your rabbit in the event of a lifestyle change, such as having children; working more hours; getting a new pet; traveling more; or moving?
*
Your rabbit will be an indoor pet and will never live outside.
*
Please Select
Yes
No
We require our bunnies to have lots of space. Our minimum enclosure requirements are 4 feet by 6 feet. Hutches and cages are not enough room for a bunny to be happy and healthy. If wanting to use a hutch, please attach exercise pen to the outside to allow for ample space. See examples below for proper enclosures.
Are you willing to have a set-up similar to what is pictured above?
Please Select
Yes
No
As part of the approval process, Paisley's requires a photo of the enclosure in which your new bunny/bunnies will live. We will not approve hutches or cages without an exercise pen attached. Please follow recommendations listed below from "New Furry Friend Checklist". This photo can uploaded below or can be sent later to paisleysbunnyrescue@gmail.com
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If approved, I understand that I will be responsible for providing a transport kennel. If I am unable to provide a transport kennel and acquire one from Paisley's Bunny Rescue, I understand that there will be a $50 fee added to the adoption.
*
I Agree
Adoption Fees:
Single Bunny: $222
Bonded Pair: $350
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Continue
Continue
Should be Empty: