APPLICATION TO FOSTER OR ADOPT

APPLICATION TO FOSTER OR ADOPT
Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date:

MonthDayYear
Date
Cell Phone:
Work Phone:
Email
example@example.com
Are you age 18 or older?*

YesNo
Please list all people who live in your household:
Is anyone allergic to rabbits or hay?

YesNoOther
Who will be the primary caregiver?
Do all members of your household favor having a house rabbit?
Please describe your normal household activity.
Housing (check all that apply):

OwnRentLive with parentsLive at schoolOther
Landlord's Name
Landlord's Phone Number
How long have you lived at your present address?
Please give us two personal references from people (NOT HOUSEHOLD MEMBERS OR RELATIVES) who can attest to your commitment to your animals:
Reference 1

First NameLast Name
Relationship to You:
Phone Number
Reference 2:

First NameLast Name
Relationship to You:
Phone Number
Who is your current veterinarian?
Name of Practice, City, State:
Phone Number
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:

a single rabbita paira companion for your bunny
How long have you been searching for a rabbit? What type of rabbit are you looking for?
Please describe the level of research you have done to date on rabbits and rabbit care:

None yetInformation from House Rabbit SocietyInformation from breederInformation from friend with rabbit experienceInternet ResearchPet StoreOther
Please list all animals, including rabbits, currently in the household:
1. Type:
Age
Sex
Neutered/Spayed?

YesNo
How long has he/she been with you?
Where did you get him/her?
Where is he/she kept?

InsideOutsideBoth
2. Type
Age
Sex
Spayed/neutered?

YesNo
How long has he/she been with you?
Where did you get him/her?
Where is he/she kept?

InsideOutsideBoth
3. Type
Age
Sex
Neutered/spayed?

YesNo
How long has he/she been with you?
Where did you get him/her?
Where is he/she kept?

InsideOutsideBoth
Please describe the animals, including rabbits, no longer in your household in the past 10 years:
1. Type
Age
Sex
Was he/she neutered/spayed?

YesNo
Where did you get him/her?
What happened to him/her?
Where was he/she kept?

InsideOutsideBoth
2. Type
Age
Sex
Was he/she neutered/spayed?

YesNo
Where did you get him/her?
What happened to him/her?
Where was he/she kept?

InsideOutsideBoth
3. Type
Age
Sex
Was he/she neutered/spayed?

YesNo
Where did you get him/her?
What happened to him/her?
Where was he/she kept?

InsideOutsideBoth
Have you or anyone in your household ever surrendered an animal to a shelter or rescue? If so, describe the circumstances.
Have you or anyone in your household ever given away any of your pets? If so, describe the circumstances.
Have you or anyone in your household had an animal confiscated? If so, describe the circumstances.
Have you or anyone in your household ever been charged with an animal-related charge? 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?

YesNo
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?

YesNo
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.

YesNo
I am willing to take Hoppy Hearts SC Bunny 101 class either virtually or in person to learn about basic bunny care.

YesNo
I hereby certify that all the information on this application is true, and I understand and agree that Hoppy Hearts SC will do their best to verify any and all information needed in order to process this application. I understand that false information may void this application and any future applications. I also understand that failure to comply with all requirements, such as spaying or neutering, could result in my inability to foster or adopt animals from this organization. Your failure to comply may also be shared with other rescue organizations at Hoppy Hearts SC's discretion.
Signature

Clear
Date

MonthDayYear
Date
Printed Name
How did you hear about Hoppy Hearts SC?
Why did you choose Hoppy Hearts SC?
Please submit completed application (with original signature, not typewritten) plus a copy of driver's license and any photos you wish to send to hoppyheartssc@gmail.com
Please attach photo of driver’s license here.
Should be Empty: