HRS Adoption Application

SEPA/DE HRS ON-LINE ADOPTION APPLICATION

Please answer the following questions before deciding on your potential rabbit. This a pre-adoption screening application. You will not be officially approved to adopt until you visit the shelter. We try to ensure the best possible match between rabbit and adopter or between rabbit and rabbit (if this is a bonding situation).
Remember that this is a lifetime commitment. You will be asked to sign a legal contract when adopting. Southeastern PA-Delaware Chapter members must pay a fee of $60.00 for a single rabbit, $110.00 for a pair and $150.00 for a trio. Non-chapter members must pay a fee of $75.00 for a single rabbit, $125.00 for a pair and $165.00 for a trio. The Non-member fee includes a copy of the House Rabbit Handbook and one-year Chapter membership.

Keep in mind the following points:

Rabbits must be indoors only.
Rabbit must get a minimum of 30 hours of uncaged time/week.
Rabbits may under no circumstances be declawed.
Indoor rabbits live an average of 8 - 10 years. We are looking for those special adopters who will make every effort possible to keep their companion for their entire life despite life style changes (divorce, moving, etc.)
Rabbits may not be adopted as gifts. All members of a household should visit the shelter to meet the prospective rabbit and apply for adoption.
Rabbits will not be placed in a home where there is an unneutered or unspayed rabbit.
We do not adopt rabbits to children. We DO adopt rabbits to families.
Parents/adults must fill out this appplication and sign the adoption contract. Please do not have your children call or email.
Primary caregiver MUST be an adult.
Applicants who under 18 yrs of age or who are living with parents must have a parent or legal guardian apply on their behalf.
Renters must have landlord approval.

Approval Process
Once you submit an application, it can take up to 2 weeks to get a response.
Every question must be answered or the application will not be processed.
If we have questions about your application, we will contact you. So please make sure that your contact info is correct.
We will notify you when you are pre-approved. Pre-approval means that you can schedule an appointment. Final official approval will not be given until you come to the shelter.
Most correspondence will be via email.

Theresa Mazzei, Chapter Manager
Southeastern PA-Delaware Chapter
House Rabbit Society

Go Back to the Southeastern PA-DE HRS main page

Today's Date

Name of rabbit you are interested
in (if applicable):

Your name

Address (incl city& zip):

Telephone:

Email address (PLEASE BE ACCURATE, this is how we will contact you):

Do you(select all that apply) Own Rent Live alone Living w/ parents Living w/ roomate Student

List all human members of household and ages of children

Does any member of your household have any known allergies to animals?

If yes, please describe:

Do we have permission to visit your home?

If no, reason?:

Pet History

Do you currently have any other pets?

If yes, please describe (include all animals including housemates' animals), type, age, sex, spayed/neutered? where kept? Had how long?

Your veterinarian's name and Tel. number:

Is he/she rabbit knowledgeable?

List pets owned in the past 10 years, other than those listed above. Include type, name, age, sex, where you got him/her, when you stopped owning the animals and reason

Have you ever brought an animal to the shelter?

If yes, what were the circumstances?

Do you anticipate moving soon?

If yes, when?

Which member of your houshold will be primary caregiver for the rabbit?

Please state reason for wanting a rabbit as a companion:

Please describe where you intend to keep the pet (inside/outside) and the type/size of cage you will use (if applicable)

Describe the ways you plan to allow your rabbit to exercise, number of hours, space, etc.

Rabbit Care Questions (****REQUIRED INFO****)

List all sources of Rabbit Education/Literature that you have read:

After your reading...

What type of pellets do you plan to feed?

What type of hay do you plan to feed? How much?

What type of treats will you feed? Veggies?

What can you say about GI Stasis, its cause and treatment?

What are some signs or symptoms that your rabbit may be ill? What will you do?

How often should you take your rabbit for a well-bunny exam? (Be sure to take a fecal sample to check for coccidia.)

You must enter the code shown in this image:

Please click submit when you are done:

Print this page

Today's Date
Name of rabbit you are interested in (if applicable):
Your name
Address (incl city& zip):
Telephone:
Email address (PLEASE BE ACCURATE, this is how we will contact you):
Do you(select all that apply)	Own Rent Live alone Living w/ parents Living w/ roomate Student
List all human members of household and ages of children
Does any member of your household have any known allergies to animals?
If yes, please describe:
Do we have permission to visit your home?
If no, reason?:

Pet History
Do you currently have any other pets?
If yes, please describe (include all animals including housemates' animals), type, age, sex, spayed/neutered? where kept? Had how long?
Your veterinarian's name and Tel. number:
Is he/she rabbit knowledgeable?
List pets owned in the past 10 years, other than those listed above. Include type, name, age, sex, where you got him/her, when you stopped owning the animals and reason
Have you ever brought an animal to the shelter?
If yes, what were the circumstances?
Do you anticipate moving soon?
If yes, when?
Which member of your houshold will be primary caregiver for the rabbit?
Please state reason for wanting a rabbit as a companion:
Please describe where you intend to keep the pet (inside/outside) and the type/size of cage you will use (if applicable)
Describe the ways you plan to allow your rabbit to exercise, number of hours, space, etc.

Rabbit Care Questions (REQUIRED INFO)
List all sources of Rabbit Education/Literature that you have read:
After your reading...
What type of pellets do you plan to feed?
What type of hay do you plan to feed? How much?
What type of treats will you feed? Veggies?
What can you say about GI Stasis, its cause and treatment?
What are some signs or symptoms that your rabbit may be ill? What will you do?
How often should you take your rabbit for a well-bunny exam? (Be sure to take a fecal sample to check for coccidia.)
You must enter the code shown in this image:
Please click submit when you are done:

Print this page