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	Please look over the form below. We try to respond to all questions/applications within 48 hours. If you are interested in adopting, please remember that a rabbit is a lifetime committment. Also, you will be asked to sign a legal contract. We do have an adoption fee which goes directly to our rescued rabbits for spaying/neutering, upkeep, and medical care.
	Please be sure that you have sent us your email address when you fill out the form below. Just skip the questions that do not pertain to what you want us to answer. Any problems with the form need to be reported to the webmaster.

Your name
Address (incl. city, state, zip)
Telephone (home)
Telephone (work or cell)
Email Address (required)
Are you interested in fostering?	Yes No
Rabbit Health Question (s)?
Interested in adopting?	Yes No
Do you (select all that apply)	Own Rent, living with roommates Rent, living alone Living with parents
List all human members of household and please list ages of all children under 15 years of age  Please read the following articles: Other Factors: Number of Children & Ages http://www.rabbit.org/faq/sections/children.html#personality http://www.rabbit.org/faq/sections/children.html#ages
Does any member of your household have any known allergies to animals? If yes, please describe:  Read the following articles: A Fosterer's Allergy Experience http://www.rabbit.org/journal/3-12/fosterer-allergies.html Allergies http://www.rabbit.org/faq/sections/children.html#allergies
Is there any possibility that you may move in the near future?	Yes No Uncertain
Do we have permission to visit your home?	Yes No
Do you have a rabbit now?	Yes No
Please describe your rabbit's diet
Spayed/Neutered?	Yes No
Who is your veterinarian?
Who is the rabbit's primary caregiver?
Please fax to 757-436-9375 or save as an attachment (RTF please) and email to JDoub54918@aol.com

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