Name
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First Name
Last Name
Email
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Phone
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(###)
###
####
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please list all members of your household and their ages
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Do any members of your household have allergies to animals or hay?
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Do you own or rent your home? If renting, please enter your landlord's contact information
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Which rabbit(s) are you interested in?
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Have you owned a house rabbit before?
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Yes
No
Do you currently own a house rabbit?
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Yes
No
If yes, are they spayed/neutered?
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Yes
No
N/A
If you currently have a rabbit, please tell us about their care, including litter box management, diet, and living space.
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Have you ever dealt with G.I. stasis in a rabbit? Do you know how to recognize the symptoms?
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Please list all animals currently in your household, if they are spayed/neutered, and where they are kept
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If you have other animals in your home, do they have access to your rabbit’s living space?
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Do we have permission to contact your vet for a referral?
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Yes
No
How much money would you be willing to spend on your rabbit in the case of a medical emergency (post-adoption)?
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Are you willing to take your rabbit to the vet for an annual check up?
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Yes
No
What will you do if you can no longer care for your rabbit?
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If your application is approved, do you agree to send photos of your potential rabbit’s living space or consent to a home check?
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Yes
No
I will care for the animal in the most humane manner.
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I agree
The animal will be kept in my home until adopted or returned to rescue.
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I agree
I will promptly notify the rescue if the rabbit has any suspected ailment, injury, or illness
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Vet visits not approved by a rescue official will not be allowed or reimbursed
I agree
I will follow medical advice and treatment plan given to me by the rescue and the veterinarian selected by True Hearts for Healing Paws
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I agree
I will not abandon, sell, give away, dispose of, turn over to, or relinquish custody or possession of the rabbit except to return the animal to the rescue.
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I agree
I will return the rabbit promptly to the rescue if I do not wish to continue to foster the rabbit or abide by all terms of the contract.
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I agree
I understand that I do not have permanent ownership rights of this rabbit until the official adoption contract has been signed.
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I agree