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PETSAVE FOUNDATION ADOPTION QUESTIONNAIRE/APPLICATION

Please answer each question fully. Completion of this Application does NOT imply a guarantee of approval and must be completed by an adult or guardian.
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
State:
Zip/Postal Code:
Home Phone:
Work Phone:
E-mail:
 
Please tell us about your household
If renting, do you have permission to have a rabbit? [check only if yes]
Landlord Name and Phone No:
Describe where you are planning
to house your rabbit:
Who will be the principal caregiver for the rabbit?
What pets do you currently own?
What pets in the previous 5 years?
List ages of children under 18 residing with you:
Is anyone in your household allergic to pets? [check only if yes]
What would you do with this rabbit if you decide to move?
What would happen if your rabbit needed medical care?
Vet/Hospital currently treating your pets:
Have you owned a rabbit in the last ten years: [check only if yes]
If yes, how long did you have it and what happened to it?
I UNDERSTAND THAT WHILE EVERY EFFORT IS MADE TO PROVIDE A HEALTHY PET, THESE ARE RESCUES AND NO GUARANTEE IS IMPLIED REGARDING FUTURE ILLNESSES.
I HAVE ANSWERED THE ABOVE QUESTIONS HONESTLY AND HAVE MADE NO MISREPRESENTATION.
I UNDERSTAND THAT MY APPLICATION MAY BE DECLINED FOR ANY REASON.
 

 

PetSave Foundation
14009 Crenshaw Boulevard #C
Hawthorne, CA 90250

Tel: 310-349-0310
petsavefoundation@pacbell.net