Name of the rabbit you are applying for
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Title
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Mr
Mrs
Miss
Ms
Dr
Other
Address Line 1
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Town/City
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County
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Postcode
*
Phone (preferably mobile)
*
Email
*
Date of Birth
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Profession
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How many adults live in the home?
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How many children live in the home?
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What are the children’s ages?
Is the rabbit for a child?
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Yes
No
What provisions do you have for cleaning out the rabbit(s), i.e. who and frequency?
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Does anyone in the home suffer with allergies or asthma that may be triggered by the rabbit?
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Yes
No
If yes, please specify allergies.
Is your property owned or rented?
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Owned
Rented
If you rent, have you got written permission from your landlord to own a rabbit(s)?
Yes
No
Other
If other, please detail.
Are the rabbit(s) going to be housed indoors or outdoors?
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Indoors
Outdoors
Do you have access to a private garden?
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Yes
No
If yes, is it secure?
Yes
No
Do you have accommodation for the rabbit(s) ready?
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Yes
No
If yes, what size is the shelter and run? Please give width, length, height.
On what will the shelter and run be sited? (Grass, concrete, decking etc.)
Are you able to provide photographs of the shelter and run?
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Yes
No
Do you currently have other pets?
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Yes
No
If yes, please tell us more about them. Type of animal, age, sex, length of time owned, where they are housed and if they are neutered and vaccinated?
Are you able to provide photo’s of your existing bunnies vaccination records?
Yes
No
Please give the name and address of your veterinary surgeon if you have one or the one you are intending to use.
*
Have you previously owned a rabbit or any other pets?
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Yes
No
If yes, please specify.
Have you previously rescued a rabbit?
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Yes
No
If you selected yes, please specify.
If you selected other, please specify.
Why do you want a rabbit?
*
If you are human, leave this field blank.
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