Rabbit Adoption Application

New Beginnings Animal Rescue Rabbit Adoption Application

Before submitting an application, read the "Before you adopt" tab on the main page of the web site.

By submitting this application, you acknowledge your understanding of our requirement that adopted rabbits be kept inside only, the fact that rabbits are a 7-10 year commitment, and the financial responsibility associated with an exotic pet.

Today’s Date

MM/DD/YYYY

How did you hear about New Beginnings Rabbit Rescue? *

Name of rabbit you wish to adopt *

Type “ANY” if not specific

Primary applicant name *

First Name Last Name

Primary applicant age *

Primary adopter must be at least 21 years old to adopt.

Email address *

Phone number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State

Zip Code

Primary adopter employer

Secondary adopter name and age

Secondary adopter employer

Do you own or rent your home? *

Own Rent

How long?

Do you plan to move within the next 6 months?

If you rent, is there a deposit for a house rabbit? If so, how much is it?:

* Rabbit deposits often differ from dog or cat deposits.

List all people living in your household and their ages

Example: Child age 8, child age 10, mother-in-law 60’s, etc.

List any pets you currently own with their breed and age

Example: Lab age 7, cat age 2

Please tell us why you are choosing to adopt a house rabbit. *

Have you ever owned a rabbit? *

Yes No

If “Yes”, please tell us about the rabbit(s).

In what area of the home will the rabbit live?

* House rabbits must be kept indoors at all times.

How many hours per day will the rabbit be alone? *

Please provide your veterinarian's name and phone number (if applicable):

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter? *

Yes No

If you answered "Yes" to the above question, please provide detail:

By clicking the submit button, I promise I have read all the documents under the "Before you adopt" tab on the main web site.
By clicking the submit button, I agree to the New Beginnings Rabbit Rescue adoption process, which may include a phone interview, home check, and phone calls to verify information if needed.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a rabbit from New Beginnings Rabbit Rescue and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue other homeless pets.
By clicking the submit button, I certify all of the above information is true and accurate.

Signature of primary adopter *

Type a question

Coordinator notes:

Note: This application is for a rabbit adoption within 250 miles of Memphis, Tennessee