Freedom for Farmed Rabbits Rabbit Adoption Form

Contact Details
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number*
Mobile number preferred
Email*
example@example.com
About your household
How many family members or other people live in your household, including room-mates? *
Are you an Australian citizen or permanent resident? *

YesNo
Are there children in the household? If so, what age? *
Please check the housing status which applies to you*

RentingParents homeApartmentBoardingHouse
Please list all animals, including rabbits that currently live in your household *
Rabbit/pet history and information
Have you had rabbits before? If you lost a rabbit please describe circumstances in which they passed. *
Is there a specific rabbit in whom you are interested? Why are you interested in him or her?
Are you looking for:*

A single rabbitA companion for your rabbitA bonded pair
Do you have a rabbit now?*

Yes, MaleYes, FemaleNoOther
Is your current rabbit desexed?*

YesNo
Please indicate the type of rabbit you would be most interested in (size, breed, colour, and gender).*
Please indicate the traits you do not want (size, breed, colour, and gender).*
Please indicate the traits/behaviour you do not want:

A bunny I can’t holdA bunny that sheds a lot of hairA shy or nervous bunnyA rambunctious bunny
Have you every surrendered an animal to a shelter? If yes, please describe the circumstances. *
Have you ever given away/sold any of your pets? If yes, please describe the circumstances. *
Do you eat rabbit meat, or condone farming rabbits for meat production?*

YesNo
Have you ever bred rabbits or any other animals? If yes, please describe the circumstances. *
Rabbit Care
Please describe your rabbit’s current diet, or diet you intend to feed your new rabbit.*
Please describe your rabbits living conditions or those you would provide to a rabbit. *

Free roamContained spaceCage/hutchPenIndoorOutdoorBoth indoor and outdoor
Please provide the location of living space*
Example: bedroom
Living space measurements (Example: bedroom size):
Living space Meters*meters x Meters*meters
Cage/enclosure measurements:
Cahe space Meters*meters x Meters*meters
Please provide the amount of play time per day:
Meters* hours
Are you willing to take your rabbit to a vet for annual checkups?*

YesNo
Please upload images of your enclosure set up, and any other space the rabbit will occupy/have access to. *

Cancelof
Do you have a person who will be able to care for your rabbit if you are injured, ill? If you answered no to the previous question, we can help you to arrange emergency care/boarding. Please discuss this matter with a Freedom for Farmed Rabbits representative. *

YesNo
Declaration: I hereby certify that all the information I have provided in this application is true and correct to the best of my knowledge. I understand that providing false information may void this application and any/all future applications. I understand that failure to comply with future requirements, such as spaying or neutering, could result in my inability to adopt more animals from this organisation, and may result in the rabbit I have adopted being returned to Freedom for Farmed Rabbits. *

I agree
Additional notes:
Should be Empty:

Contact Details

About your household

Rabbit/pet history and information

Rabbit Care