Applications must be filled out by an ADULT and filled out COMPLETELY.
All fields REQUIRED.

LOCAL ADOPTIONS ONLY.
Maryland, Virginia, DC, and parts of WV and Penn.
If you ARE NOT WITHIN OUR ADOPTION AREA,
your application WILL NOT RECEIVE A RESPONSE..

***PARENTS*** If you have children under the age of 8,
Read THIS before filling out this form!

Our application process enables us to process
your request in a very timely manner.

BES Foster Rabbit Name:
FULL Name of intended PRIMARY CARETAKER of rabbit:
Address:
Apartment or Suite:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Please describe living circumstances.

Do You:

Own
Rent
Live with Roommates
Rent, Live Alone
Live with Parents
Student
Other (Please describe below)
If Other, please explain:
List all (human) members of household and their ages:
May we schedule a home evaluation for bunny proofing? Yes No (Please describe below)
If not, explain:
Do you care for other pets right now?

If so, please describe all including all animals in the household.  Include NAME, type, age, where kept and how long they have been in the household.

Veterinarian Reference
(doctor's name, name of clinic & phone--include ALL) if
you have no established veterinary relationship,
please put "NONE":
Please tell us about all pets owned for the last decade that are not listed above.

Include species, age, alter status, and how the animal came to be parted from you.

Please tell use how much you estimate rabbit care will cost annually - include litter, food, veterinary care, and pet sitting. Also, how much are you willing to spend on your rabbit's vet care in order to get him/her through a life-threatening illness? 

Please indicate which are reasons for which you might be forced to give up a companion rabbit.
Please CHECK AT LEAST ONE. Incomplete applications will not be processed.

Allergies:
Financial:
Overwhelmed:
Children Not Interested:
Baby Arrival:
Moving:
Doctor Request:
Cannot provide attention/
lack of time:
Unable to Care For:
Health Reasons: if checked, please describe below
Health Reasons Described:
Have you applied to adopt a rabbit from another organization in addition to ours?  Yes No
Please tell us what is appealing to you about rabbits and why you are seeking one as a companion:
Please describe EXACTLY AND IN DETAIL how you will house and care for the pet rabbit including description of housing with dimensions of housing included:
How do you intend for your rabbit to exercise?
Who will care for your rabbit when you go on vacation or trips? Please be specific. 
How many hours a day do you anticipate the rabbit will be alone?
How did you hear about us?
May we contact you about volunteering? Yes No