Rabbit Rescue Adoption Application

Please fill in the form below and fax it to Rabbit Rescue at

562-531-9679. Make sure your contact information is
correct. We will contact you soon.

Name: _____________________________________________

Date: _____________________________

Street: ______________________________________________

________________________________________________

City: ____________________________________ State: ______

Zip: _______________

Phone numbers:

Home: ____________________________

Cell: ____________________________

Name of rabbit(s) you are interested in adopting:

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If you rent do you have permission to have a pet rabbit?

___yes ___no

Where do you plan to keep your rabbit?

______________________________________________________

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Describe all current pets.

______________________________________________________

______________________________________________________

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Describe previously owned pets in the last five years and what
happened to your pet?

______________________________________________________

______________________________________________________

______________________________________________________

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What would you do if your rabbit needed veterinary care due to

sudden illness or injury?

______________________________________________________

______________________________________________________

______________________________________________________

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What would you do with the rabbit if you moved from your present
location?

______________________________________________________

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