Click here for information on adoption fees and our application process! All required fields must be filled in for the form to submit successfully. ← BackThank you for your submission! Please note that it may take up to two weeks for you to be contacted. Adopter Information Name: First and Last(required) Birthdate (YYYY-MM-DD) Physical address Phone number(required) E-mail Have you ever surrendered a pet to a shelter?(required) Select one option Yes No If you have surrendered an animal, please describe why. Have you ever been convicted of neglect or cruelty to animals?(required) Select one option Yes No Are you willing to have a Little Mittens Animal Rescue Association representative do a home visit by appointment?(required) Select one option Yes No If you are not willing to schedule a home visit, why not? Home and Family How many adults are in your home? Select one option 1 2 3 4 5+ How many children are in your home? Select one option 0 1 2 3 4 5+ Ages of children (if any). Does anyone in the home have allergies to rabbits? Select one option Yes No The most important part of a rabbits diet is fresh hay – does anyone in the home have allergies to hay?(required) Select one option Yes No How busy is your family? Select one option Very Moderate A little Not at all How would you describe the environment in your home? Select one option Quiet/Calm Moderately noisy Loud/Frantic Type of home? Select all that apply.(required) House Apartment Acreage Shared Owned Rented If you rent, do you have the landlords permission to keep a pet? Select one option Yes No Outside areas? Select all that apply. Balcony Patio Yard None Are you planning on any of the following in the next 6 months? Select all that apply.(required) Moving Holiday New baby New job None of the above Current Pets How many animals are in your home?(required) Select one option 0 1 2 3 4 5+ List all current pets. Include their name, breed, sex, age, and if they are spayed/neutered.(required) How are your pets with other animals?(required) Have you had a rabbit before?(required) Select one option Yes No If you have rabbits, do you keep them indoors or outside?(required) Select one option Indoor only Outdoor only Indoor and outdoor Do you have a family vet? (required) Select one option Yes No If yes, who is it? Rabbits are social animals that require daily attention/socialization. Where will the rabbit be housed?(required) Rabbits need exercise and cannot spend all of their time in a cage/hutch. How many hours per day will the rabbit be free from its cage?(required) What problems are you willing to work with/on?(required) Litter box training Chewing furniture Fearfulness Shyness Nervousness I'm not willing to work on any problems If you are not willing to work on problems, please explain why. Under what circumstances would you return your rabbit? Select all that apply.(required) Aggression Litter box issues Too costly New baby Chewing furniture Not getting along with other pets Not enough time Moving I would not return my rabbit under any circumstances Please include any additional information that can help us find the right match for your home: References Please provide a non-family reference: Name, relation to you, phone number.(required) Please provide a second non-family reference: Name, relation to you, phone number.(required) Agreements and Consent Please check the boxes next to the statements below to indicate that you have read, understood, and agree to the following. If you are approved for adoption, this is considered the adoption agreement. It is my responsibility to see and evaluate the rabbit for myself before agreeing to adoption.(required) To submit payment of the adoption fee to Little Mittens Animal Rescue Association upon pick up of the rabbit.(required) This rabbit will reside in my home as a companion. I will provide him/her with adequate food, water, shelter, affection, socialization, and medical care.(required) I will not sell, trade, give away, or otherwise dispose of this rabbit. If at any time I am unable or unwilling to care for this rabbit, I agree to contact Little Mittens Animal Rescue Association to return him/her or to discuss finding a new home. I understand that the adoption fee is non-refundable.(required) Little Mittens Animal Rescue Association is in no way liable or responsible for any damage, accident, or injury resulting from the placement of this rabbit into my household.(required) Little Mittens Animal Rescue Association cannot be held responsible for any health or temperament problems of this rabbit.(required) Thank you for your interest in Adopting. Please allow up to two weeks for our team to review your application and contact you regarding your eligibility as an adopter. We reserve the right to refuse any applicant. Applicant digital signature (enter full name)(required) Date (YYYY-MM-DD)(required) SubMitSubmitting form Δ
