Application for Adoption

Best time of day to contact you *
Please indicate one: *
Are you financially able to provide for this pet, including its basic and veterinary needs? *
Do you have previous rabbit experience? Do you or any member of your family have any kind of allergies, asthma, breathing issues?
Will the bunny be kept indoors?
Please list all current pets:
 NameBreedGenderAgeSpayed/Neutered?
1)
2)
3)
4)
5)
Please provide Names, Email Address and Phone Numbers of THREE (3) References (only ONE can be a relative):
 NameEmail AddressPhone NumberRelationship
Reference #1
Reference #2
Reference #3
I certify that the information on this form is true and correct and that I am financially, emotionally and physically capable to care for this animal.  I understand that giving a false answer may result in denying an adoption, or relinquishing the pet to PPAR if false answers are discovered pre- or post-adoption.  If a PPAR representative examines the animal and/or its living conditions and finds it unacceptable, I agree to relinquish the animal to PPAR without refund of the adoption fee. PPAR reserves the right to accept or deny any application.
 
PPAR cannot travel more than 1 hour each way to perform a home visit which is required in our adoption process

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