Cottonail Cottage Animal Sanctuary
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CCRR Adoption Form:
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Reference #1 (Name/Phone):
*
Reference #1 relation to you:
*
Reference #2 (Name/Phone):
*
Reference #2 relation to you:
*
Place of Employment:
*
Do you own/rent?
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Own
Rent
Other
If rent, please provide your landlord’s name and phone number: CCRR will contact your landlord to verify rabbits are allowed.
*
What other pets do you have?
*
Is anyone in your home allergic to rabbits or hay?
*
Yes
No
Please list your current pets (species, age, indoor/outdoor, spayed/neutered):
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If you have current pets, what is the name of your veterinarian(s)?
*
Have you owned a rabbit before? What was your experience?
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Where will your rabbit be when you are home?
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Where will your rabbit be when you are not at home?
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How many adults are in your home?
*
How many children are in your home?
*
Have you ever given up a pet?
*
Yes
No
If yes, who did you give the pet to and what was the result?
*
Is there a particular rabbit you are interested in? Size? Breed?
*
When are you looking to adopt?
*
What will you do with your rabbit if you are forced to move?
*
What will you do with your rabbit if you are out of town?
*
Please include any comments that may be relevant to your adoption application:
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Where did you hear about CCRR?
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Facebook
Twitter
Website
Veterinarian
Friend
Other
I certify that the information on this form is true and correct and that I am financially, emotionally, and physically capable to care for a rabbit. I understand that giving false answers may result in my application for adoption being denied or relinquishment of the rabbit to Cottontail Cottage Rabbit Rescue if false answers are discovered post-adoption. CCRR reserves the right to accept or deny any application for adoption. * Please type your complete legal name to serve as a digital signature:
*
Submit
HOME
ABOUT
CONTACT US!
SAVE A LIFE!
MONTHLY GIVING
OUR ANIMALS
ACHILLES FOUNDATION
ROOKERY NOTES
BE VEGAN!