Pumpkin's Acres Rabbit Rescue

Pumpkin's Acres Rabbit Rescue

ADOPTION APPLICATION
Cost of adoption is $125 for one rabbit and $200 for a bonded pair. All rabbits are spayed or neutered and vaccinated prior to adoption. Please also include a photo of the rabbit’s proposed setup.
Applicant Information
Your full name:*
Date of Birth:*

MonthDayYear
Date
Street Address:*
City, Province, Postal Code*
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
E-mail:*
Employer:*
Job Title:*
Full or part time?*

Full timePart timeContractOther
Emergency Contact:*
Relationship:*
Phone Number:*

Area CodePhone Number
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If renting, does your landlord allow pets?
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to hay or have asthma?*

YesNo
How much time do you spend at home*
How would you describe the noise level in your home? *
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages:
How many of these pets are spayed/neutered?
Where were these animals obtained? (Rescue, shelter, breeder, etc)
Where are these animals now?
Have you adopted from an animal rescue group before?

YesNo
If yes, what rescue?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Where do your current pets spend the day?
Do you take your pets to see a veterinarian regularly?*

YesNoInapplicable
Have all of your pets seen a vet in the last 2 years?*

YesNoInapplicableOther
Do we have permission to discuss with your veterinarian any questions/concerns we may have regarding your pets? *
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
New Pet Information
Why are you interested in adopting a rabbit? *
Which rabbit are you interested in adopting?*
Why are you interested in adopting this particular rabbit?*
Areyou aware of any medical issues they may have? Please list:*
Where will your new rabbit spend the day?*
And night?*
How often will they be let out for exercise each day?*
How much time do you plan on spending socializing with your rabbit each day*
Do you plan on bonding your new rabbit to one of your current rabbits?*

YesNoOther
Have you successfully bonded rabbits before?*

YesNoOther
Have you had a rabbit in the past that's not currently living with you?*

YesNo
If yes, what happened to them?
Are you able to commit at least 14 years to this pet?*

YesNo
Approximately how much do you think your new rabbit will cost per month for vet care, food, litter, grooming, etc? *
What food will you be feeding your rabbit?*
What type of bedding and litter will you use?*
What is the normal lifespan of this pet?*
Under what circumstances would you seek veterinary care for your rabbit? *
What’s the maximum dollar amount you’re willing to spend on their veterinary care? *
If your rabbit needed a life saving procedure but you couldn’t afford it, what would you do?*
Are you willing to work with your new rabbit on any issues they may have?*

YesNo
What will you do if your rabbit shows destructive behavior? Such as chewing, digging, poor litter skills, etc.: *
What type of behaviors are you unwilling to accept from your new rabbit?*
What will you do if these behaviors arise? *
Are you aware that rabbits cannot be left alone for over 24 hours?*

YesNo
What will you do with your rabbit if you go on vacation? *
What will you do with this pet if you need to move?*
Under what circumstances would you return this animal?*

MovingNew babyNew RelationshipAllergiesVacationDivorceRetiringAggressionToo ExpensiveOther
Would you be willing to let an authorized representative of the rescue schedule a home visit?*

YesNo
Do you consent to a member of Pumpkin's Acres Rabbit Rescue reaching out to you for a wellness check after the rabbit has been adopted?*

YesNoOther
If not, please explain why:
Have you ever been charged with animal cruelty or neglect?*

YesNo
If you are suddenly no longer able to keep your rabbit, the rabbit must be returned to the care of Pumpkin’s Acres Rabbit Rescue. They will not be given to any other family, shelter or organization. Pumpkin’s Acres may also take the rabbit back at any time.*

I agreeI do not agree
Please provide two personal references (name, relationship and phone number) who can comment on your suitability of adopting:
Signature*

Clear
By signing below, you agree that all the information provided in this adoption application is true and correct to the best of your knowledge and consent to a member of Pumpkin’s Acres Rabbit Rescue contacting you if more information is needed.
Please attach a photo of the area where your rabbit will be staying. *

Browse Files

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How did you find out about Pumpkin's Acres Rabbit Rescue?*

InstagramFacebookFriend/Family MemberOther websiteOther
Should be Empty:

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information