10,000 Carrots Rabbit Rescue Adoption Application

10,000 Carrots Rabbit Rescue Adoption Application
Adoption fee: $60.00 each or $100.00 for a bonded pair.

This fee is due at the time of adoption and is non-refundable. Adoption fees go directly into the spay/neuter account and are considered a donation to the rescue. If you adopt a rabbit and for any reason you cannot keep him/her, we do take the rabbit back into the rescue as soon as we are able to.

**We ask the following questions so that we can match you with a rabbit that will fit with your family. We want to make sure that everyone in the family, including current family pets, is happy**
Name*

First NameLast Name
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Where did you hear about us?
Which rabbit(s) are you interested in discussing?
Please tell us about your living situation; including how many people live there, what dwelling type, how long you have lived there, whether you rent or own. If you rent, can we contact your landlord (please include name and phone number).
Who lives in your household?

Adult Over 25Adult 19-25TeenagerChild over 7Child Under 7Cat(s)Dog(s)Other Rabbit(s)Other AnimalNo Animals
Dog's approximate age
Dog's Breed
Male or Female Dog(s) spayed / neutered?
Energy Level

Low EnergyModerate EnergyHigh EnergyVery High Energy
Does your dog chase birds, squirrels, ducks, or other small animals?
Cat's Age
Does the Cat chase small animals / bring home "presents" of small animals?
Rabbit's Age
Rabbit's Breed
Is your rabbit passive or dominant?
Type of animal
Male / Female - neutered / spayed?
Do you anticipate moving in the near future? If so, do you plan to take this rabbit and any other pets with you?
How long have you been looking for a rabbit? Have you ever owned a rabbit in the past? If not what research have you done on rabbit care/behavior etc?
Are you prepared to make changes to your home to accommodate a rabbit? (Rabbit proofing etc.)
How many hours per day will the rabbit be free from its pen? Where will this happen? **Rabbits need exercise and cannot spend all their time in a pen**
Under what circumstances would you return this animal? (i.e. moving, cost, new baby, behavior, medical issues, not enough time?) Please tell us about any behaviors you could not accept from a rabbit?
The most important part of a rabbit’s diet is fresh hay. Is anyone in your family allergic to hay?
Who will be the primary caregiver for this rabbit? Who will care for him/her when the caregiver is away?
What pets do you currently own? Have owned?
Have you ever given a pet away or surrendered it to a rescue group or animal shelter?
Have you ever had an animal euthanized?
May we contact your veterinarian for a reference?
Anything else you would like to tell us?
I wish to adopt a rabbit from 10,000 Carrots Rabbit Rescue.

By submitting this application I am acknowledging that I understand, and agree to ALL of the following policies of

10,000 Carrots Rabbit Rescue:

1. To provide proper and adequate food, water, shelter, exercise, kind treatment and a nurturing and loving environment to the adopted animal at all times.

2. To provide veterinary care to the adopted animal to prevent and cure illness and injury.

3. The adopted animal will not be used for food, experimental purposes or subjected to unlawful activities.

4. If for any reason I cannot keep the adopted animal, I must contact 10,000 Carrots Rabbit Rescue to take the adopted animal back as soon as there is room available, to find a suitable new home for the rabbit. I realize that this may take some time as the rescue is quite busy.

5. To allow a 10,000 Carrots Rabbit Rescue representative to examine the adopted animal and living conditions at any time and return the adopted animal to 10,000 Carrots Rabbit Rescue if the representative feels the conditions are unsatisfactory, or if I have not complied with any term of the Animal Adoption Contract.

6. 10,000 Carrots is in no way responsible for any damages which the animal may cause to any person or property and no attempt will be made to hold the rescue responsible.

7. The adoption fee I have paid is non-refundable.

10,000 Carrots Rabbit Rescue reserves the right to refuse this application
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