List all Family Members and/or Roommates: (names and ages of all other residents of your home)
Please describe your home life: (ie: active, quiet, hours spent at home)
What made you decide to adopt a rabbit and what kind of companion animal do you expect from a rabbit?
If yes, do you still have this rabbit? If not, please explain why?
If you are adopting a rabbit as a companion for a current rabbit, tell us about your rabbit; including age, breed, health, spayed or neutered, and if vaccinated against the Rabbit Hemorrhagic Virus?
How and where do you plan to house your new rabbit companion?
*Do you have any other animal companions in your home? If yes, please describe them; breed, sex, age, if they are spayed or neutered and where they live:
Do you have any questions, comments or other information that should be considered with your application? Please list all Bunny's you are interested in meeting