• Would you like to be on our email list?*
  • Do You:*

  • If less than three months, please provide the previous address and the landlord’s contact information.

  • *LANDLORD CONSENT FORM WILL BE PROVIDED

  • Living Arrangements:*
  • Are You:*
  • Household Members:*
  • Is anyone in your house allergic to pets?*
  • Have you previously owned a rabbit?*
  • Have you researched how to care for a rabbit?*
  • Have you ever been the primary caregiver of a pet?*
  • Are you prepared for the expense of owning a rabbit? (Estimate only - $400-$700 per year)*
  • Are you willing to accept the financial responsibility of unexpected medical expense? Examples: an injury, surgery or an illness requiring ongoing medication*
  • Are you prepared for an adjustment period of a few weeks to several months?*
  • Do you currently own any pets?*

  • If yes, please fill out the following for all your pets:

  • Rows
  • Please list any pets that are no longer with you (deceased or rehomed)*
  • Rows
  • Are your pets licensed with your municipality?*
  • Have you house-trained a rabbit before?*
  • Do you plan to let your rabbit go outside?*

  • By signing below, I certify that the information I have given is accurate and true. I understand that the SPCA ANIMAL RESCUE has the right to deny my request to adopt an animal and the SPCA Animal Rescue reserves the right to hold in confidence any information concerning decisions about my application.
    I authorize investigation of all statements in this application.
    I agree to have said animal spayed or neutered by the date entered on the Adoption Contract (to be signed at time of adoption).

    I understand that as part of the follow-up program, the SPCA AR can phone or visit me to see how the pet is doing. At any time, an SPCA Animal Rescue may assess the adopted animal and living conditions and retake possession of the adopted animal if they think the situation is unsatisfactory.

  • Should be Empty: