RABBIT ADOPTION APPLICATION


Thank you for considering adopting a pet from our shelter! Remember you are making a 10 year commitment. All rabbits have a microchip as a permanent form of identification and have been spayed and neutered. We will be happy to escort you through our kennel to view the animals. Rabbits cannot be viewed outside of their cages until you have been approved for adoption. Adoption fees are non-refundable. The animal must be taken to a veterinarian within 10-14 days of adoption for an exam and any necessary vaccinations/medications.

Applicant Information

Date
Name*
Address*
How did you hear about us? *

PLEASE LIST ANY PETS THAT ARE CURRENTLY IN YOUR HOME:

Animal 1:

SPAYED OR NEUTERED?
CURRENT ON VACCINES?

Animal 2:

SPAYED OR NEUTERED?
CURRENT ON VACCINES?

Animal 3:

SPAYED OR NEUTERED?
CURRENT ON VACCINES?

Animal 4:

SPAYED OR NEUTERED?
CURRENT ON VACCINES?

Animal 5:

SPAYED OR NEUTERED?
CURRENT ON VACCINES?

PLEASE LIST THE PETS YOU HAVE OWNED IN THE PAST FIVE YEARS:

Animal 1:

Animal 2:

Animal 3:

Animal 4:

Animal 5:

How many people are currently living in your home? *
Do you live in a single-family home, townhouse, condo, or apartment? *
Do you rent or own?*
If you own your home but the property tax bill appears in someone else's name, please list that here.

As you live in a Townhome or Condo, Animal Services will need a copy of your association by-laws.  If they are not available, we will request your association phone number to verify pets are allowed and check if there are restrictions.  

Have you owned a rabbit before?*
Does anyone in your family have allergies to rabbits or hay?*
If yes, are you prepared to take the necessary steps to keep the animal in the home? (i.e. cleaning, medication, etc)*

Caring for Your Rabbit

Do you plan to let this rabbit outside? *

Rabbit Hemorrhagic Disease Virus (RHDV) is a highly contagious and deadly disease caused by a calicivirus that affects both wild and domestic rabbits. It is not contagious to people or other animals. Even if your rabbit is kept inside, they are still at rick of becoming infected wit RHDV.  While RHDV only affects rabbits, the disease can be transmitted to them by people or animals through contact with objects, animals, insects, or predator feces contaminated by the virus. 

By signing below, I certify that I am 18 years of age or older, the information that I have provided is true and that I recognize

that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I authorize DuPage County Animal

Services to investigate all statements made in this application. I also understand that I only have the power of exchange

within 14 days if the animal is found to have a life‚Äźthreatening medical problem by my veterinarian.

Use your mouse or finger to draw your signature above
Date