Rabbit Advocate Adoption Application

Name *

Address

City *
Please note we adopt rabbits to homes in Portland, OR and surrounding areas.

State *

Zip

Telephone #

Email *

Describe the qualities you want in a companion rabbit.

How long have you been thinking about adopting a rabbit?

Why do you want to adopt a rabbit?

How many of each in your household?
Adults

Children

Children ages?

For whom is this rabbit being adopted?

Primary Caretaker
 Adult Child

If child, enter age

What research or reading have you done and what experience have you had with companion rabbits?

Are you interested in educational materials regarding house rabbits?
 Yes No

Veterinarian Name and Vet Clinic

What do you expect to spend for veterinary services each year for your rabbit(s)?

Plans for housing
 Inside Outside

Describe living area size, location, etc.

Would you like assistance in planning your rabbit's housing?
 Yes No

Do you currently own or rent?
 Own Rent

If renting, what pets does your landlord allow?

Landlord phone number

Landlord address

If you move, what will you do with your rabbit(s)?

Name some reasons that may cause you to give up your rabbit

Is there anyone in your family who is allergic to rabbits or hay?
 Yes No

Under what circumstances, if any, will your rabbit be allowed outdoors?

If your rabbit is allowed outdoors, how will you protect the rabbit from escape and from predators (raccoons, hawks, cats, dogs, people, etc.)?

Please list other pets you've had, past and present. List current animals first.

Type of animal #1

Age #1

Sex #1
 Male Female

Altered #1
 Yes No

If you no longer have the animal, please tell what happened #1

Type of animal #2

Age #2

Sex #2
 Male Female

Altered #2
 Yes No

If you no longer have the animal, please tell what happened #2

Type of animal #3

Age #3

Sex #3
 Male Female

Altered #3
 Yes No

If you no longer have the animal, please tell what happened #3

Type of animal #4

Age #4

Sex #4
 Male Female

Altered #4
 Yes No

If you no longer have the animal, please tell what happened #4

Type of animal #5

Age #5

Sex #5
 Male Female

Altered #5
 Yes No

If you no longer have the animal, please tell what happened #5

Message to RA foster homes?

If you experience a problem with submitting this form please use one of our manual forms and / or contact us at adopt@rabbitadvocates.org
Manual forms: (doc) (pdf)