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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Rabbit Information

Please note: As a part of the rehoming process we do ask for a $100 fee if your rabbit is fixed or a $200 fee if the rabbit is not fixed. We can not adopt out any unaltered rabbits. This fee is collected at the time the rabbit is adopted or at the time the rabbit comes into our care in one of our foster homes.

Rabbit's Name:

Rabbit's Age:

Gender:

Breed:

Are they spayed/neutered?

If yes, what is the name of the clinic that performed the procedure?

When did the rabbit last see a Veterinarian and for what reason?

Please include the name and telephone of the Veterinarian.

How long has this rabbit been in your care?

Does the rabbit have any special needs?

If so, please describe.

Describe the rabbit's temperament and disposition. Highlight their personality, favorite activities, quirks, etc. so that we can create a description for potential adopters.

Is the rabbit litter boxed trained?

Does this rabbit have any preference to men, women, children, or other animals?

Does the rabbit have any other animal companions?

If so, please describe their relationship with each other.

What is the rabbit’s current diet?

Describe the rabbit's lodging arrangements.

Please describe why you are surrendering your rabbit.

Upload Media

We will use your photos for our adoption pages and social media posts. Please attach at least three cute, high quality photos of your rabbit (one head shot and two full body).

Photo #1

Photo #2

Photo #3

Photo #4

Photo #5

Photo #6

Agreement & Next Steps

Please type your name below to acknowledge that you are transferring ownership of this rabbit to Southwest Florida House Rabbit Rescue and have permanently relinquished any and all rights to this rabbit. If deemed appropriate, you may continue to foster the rabbit on behalf of the rescue until adoption.

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