Bunny Application
Keni's Bunnies are in no way affliated with LPR. All monies collected go towards Keni's Bunnies to rescue bunnies in danger of euthanization and abuse situations.
Please Insert Date
Bunny Applying For:
First Name
Last Name
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone Number
Email Address
Best time to call?
How did you hear about Keni's Bunnies?
Have you ever owned a bunny before?
Yes
No
Have you ever adopted on before?
Yes
No
If Yes, please list the organization which you adopted from:
Why do you want to adopt a bunny? (Be Specific)
Is this bunny going to be a gift?
Yes
No
Do you intend this bunny to live indoors or outdoors?
Indoors
Outdoors
What type of room will the bunny live in?
Bedroom
Main Living Area
Basement
Other
Please describe area bunny will be living
Do you have a cage for this bunny?
Yes
No
What is your living arrangement?
Rent
Own
Live with parents
If you do not own do you have permission to house this bunny?
Yes
No
Are you willing to "bunny-proof" your house, i.e.,
protect/hide electrical cords, remove items you don't want chewed?
Yes
No
Will you be moving soon? (Please provide new address if possible)
Do you have any children? Please list names and ages.
Anyone in home have allergies to animals? (Please Describe)
Name, Address, Phone # of current vet.
Can you accept full financial responsibility for a rabbit?
Yes
No
Please list and describe the pets who currently live with you:
(Names, breeds, ages)
Are all animals spay/neutered?
Yes
No
Too Young
Show Animal cannot alter
Are all animals up-to-date on vaccinations required by your state?
Yes
No
Who will care for your bunny while you are away?
(ie. vacations, weekend etc.)
What type of rabbit behavior would you not be willing to tolerate?
Are you willing to spend time with the rabbit to correct any behavior problems?
Yes
No
I am home:
Some of the time
Rarely
Other then work, most of the time
I spend a lot of time at home
If you are not home very much, would you be willing to
consider another rabbit to keep yours company?
Yes
No
I certify that the above information is true and correct.
(please type full name)
Indicates Response Required
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