Full name: Phone number(s) - Home: Work: Home address (physical): Mailing address if different:     Email address: Rabbit(s) you are interested in:                 Your Employer and occupation: Spouse & occupation: Please provide references, at least two people who have known you for five years or more, not in your immediate family: * Do you live in a: house, apartment, other? * How long have you lived there? * Do you own or rent? * If you rent, please provide the name and phone number of landlord or contact for Board of Directors:   * How much research have you done on rabbits before contacting us?  What sources did you use? * Are you aware that rabbits require routine veterinary care, often at a higher cost than dogs and cats, and at a substantial distance? * Are you prepared for a possible 10-year or more commitment to this rabbit? * Are you willing to provide adequate medical care if this pet should become sick or injured, even if it requires a long drive to get to a rabbit savvy vet? * Does everyone in your family/household want a rabbit? * List ages of all children living at home: If you do not currently have children but plan to, what will happen to the rabbit? * Is your home "bunny-proofed"? * Where will the pet stay? (be specific) * Would you object to an inspection of your premises?                                        * Please describe the housing facilities you currently have for this animal and supplies: * Do you have a safe area that a rabbit can be allowed to exercise in, and will the rabbit be able to have a minimum of 30 hours/week exercise time out of cage? * Please describe the proper method of handling/picking up a rabbit: * What other animals do you currently own and are they altered (be specific)? Will any of them be a danger to a rabbit? * Please indicate if you are looking for a bonding partner for a rabbit you already own, and describe your rabbit's personality. * What is involved in caring for a rabbit? * What will you feed the rabbit? * Who will be responsible for this animal? * Have you ever owned a rabbit before? * If yes, what happened to the rabbit? (If deceased, please state cause of death and how long ago.) * How often do you travel? * How do you plan to provide for the rabbit when you are out of town? * Are you planning a move soon? To where? * Even if you are not planning a move, circumstances change. What do you plan to do with the rabbit if you must move in the future? * Under what circumstances would you not keep the rabbit? * Have you ever given up a pet in the past to a shelter or other? Why? * Have you ever been investigated for animal neglect or cruelty? * Does anyone in your household have allergies to animals or other? Asthma? Smoke? * Why do you want a rabbit? * Why have you chosen this particular rabbit? * Please make a list of questions that you may have regarding the care, health, and handling of rabbits.