Request to Relinquish

Request to Relinquish - Wait list

If this form is not filled out in its entirety and photos are not submitted, SDHRS will not add the rabbits to the wait list. Please use one application per rabbit. Please note: Please note, SDHRS requests a donation of $60.00 per rabbit to take an owner-relinquished rabbit(s). Your donation is tax-deductable and will help to feed and care for your rabbit(s) until we are able to find him/her a new home.
Date *

Month Day Year
Date
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What is the time line in which you need to have the rabbits come in?
How many Rabbits? *
Rabbit Name(s) *
Age of Rabbit(s) *
Where did you get the rabbit from?
How long have you had the rabbit?
Is the rabbit spayed or neutered? *

Spayed Neutered Neither
When was the last time the rabbit(s) saw a vet? Please put date: *
Vet Office/Doctor used. If the rabbit hasn't seen a vet, please type N/A *
What date does the rabbit need to be removed? *

Month Day Year
Date
Detailed reason why rabbit needs to be removed *
How has this rabbit been housed? *
Has this rabbit(s) been outdoors in the last 7 days? *
Have the rabbit(s) been vaccinated against RHDV?
Upload at least 3 photos of each rabbit being requested to go on our wait list and their vaccination certificate if applicable: *

Browse Files

Cancel of
By filling out this form, this does not obligate SDHRS to take the rabbits. This is simply to see if the rabbit(s) can go on a waiting list. SDHRS has a long list of rabbits waiting for placement from our local shelters. *

Clear
Should be Empty:

Request to Relinquish - Wait list