Bunnies United Network · BUN Adoption Application

Rabbit(s) you are applying for *

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

About You

Where do you live? *

House

Condo

Apartment

Other

Do you (check all that apply)? *

Own

Rent and live alone

Rent and live with roommates

Other

If other, please explain

List all human members of your house *

Include each member of your household, with ages

Does Any Member of your house have any known allergies to animals? *

Yes

No

If yes, please explain *

Pet History

Do you currently have pets? *

Yes

No

If Yes, list all animals (including roommates' animals) *

Describe type, age, sex, spayed/neutered, kept indoors or outdoors, and how long you have owned them.

Who is your Veterinarian (include name and phone number)? *

Is your Veterinarian experienced in treating rabbits? *

Yes

No

Not Sure

List all pets owned over the last 10 years *

Include type, age, sex, spayed/neutered, indoors or outdoors, how long you owned them, when you stopped owning them, and the reason for not owning them any more.

Regarding Rabbits

Please indicate why you want a rabbit as a companion *

Where will you keep the rabbit? *

What do you plan to feed your rabbit? *

How much time per day will you be able to interact with your rabbit? *

If you were to have a drastic lifestyle change that made it hard to keep your rabbit, what would you do with him or her? *

Who will care for your rabbit when you go out of town, or in case of an emergency? *

If your rabbit becomes seriously ill or injured and your veterinarian says expensive medical treatment is needed, what will you be willing do? *

Are you committed to taking full responsibility for your rabbit's health and welfare for the rest of its life? *

Keep in mind that rabbits can live upwards of 10+ years and are a long term commitment.

Yes

No

Initial setup fees for a rabbit can cost up to $150. On-going expenses for food, toys, litter can be up to 40+ per month. Rabbit vet care can be expensive. Check-ups average $65 - 85 per visit. In general, plan on a yearly check-up for healthy rabbits under 5 years old. Ask your vet about rabbits 5+ years old. Emergency vet care can easily run in the hundreds of dollars.

Click here to acknowledge that you understand the costs of caring for a house rabbit *

I acknowledge

I certify that I am 18 years of age or older *

Yes

Signature *

Type your full name and date as an electronic signature