Rabbit Adoption Application

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3. Police Department | Animal Services
   1950 Stevenson Boulevard<br> P.O. Box 5006<br> Fremont, CA 94537-5006<br> Phone: 510-790-6640 <br> Fax: 510-790-6632 <br> <a class="Hyperlink" target="_self" href="https://fremont.gov/">Website</a>

   1950 Stevenson Boulevard
   P.O. Box 5006
   Fremont, CA 94537-5006
   Phone: 510-790-6640
   Fax: 510-790-6632
   Website
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6. <h2> Fill out this application if there is an animal you are interested in. Filling out an application does not mean the application is approved, it is a starting place. We provide adoption counseling to make the best possible placement. Come into the shelter and we can help you find a great pet based on the needs of both your family and the animal. Your request may be denied. <h2/>

   Fill out this application if there is an animal you are interested in. Filling out an application does not mean the application is approved, it is a starting place. We provide adoption counseling to make the best possible placement. Come into the shelter and we can help you find a great pet based on the needs of both your family and the animal. Your request may be denied.

8. Family Information

10. First Name*
11. Last Name*
13. Address*
15. City*
16. Zip Code*
18. Phone Number*
20. Email*
22. Names of Others in Household (Include Ages)*
24. Housing*

    1. Own
    2. Rent
    3. Live with Parents
25. Housing Type*

    1. House
    2. Condo
    3. Apartment
    4. Mobile Home
27. Landlord Name
28. Landlord Phone
30. Is your landlord informed that you may be adopting a rabbit?

    1. Yes

    1. No
32. Is everyone in favor of adopting a rabbit?*

    1. Yes

    1. No
34. What is your household activity level?*

    1. Low
    2. Moderate

    1. Active
    2. Very Active
36. Who will be primary caretaker of the rabbit?*
38. Why are you getting a rabbit?*
40. What other pets are currently residing at your resident?*
    Age / Sex / Breed / Altered
42. Does anyone in the household have allergies?*
    Be specific.

46. Living Arrangements

48. Will the rabbit be:*

    1. Indoor
    2. Outdoor

    1. Rabbit Hutch
    2. Roam Freely
50. How will you provide exercise and stimulation for your pet?*
52. Who will be responsible for providing meals on a regular basis?*

56. Other Information

58. Have you ever owned a rabbit before?*

    1. Yes
    2. No
59. What happened to the rabbit?*

    1. Deceased
    2. Lost

    1. Gave Away
    2. Other
61. If you must relocate, what will you do with your pet?*
63. Who will take care of your pet while on vacation?*
65. Are you ready to make a lifetime commitment to your new pet?*
67. Do you plan on spaying or neutering your rabbit?*
69. Do you understand that you will not receive a refund if your pet is returned?*
71. I certify under penalty of perjury, that I am at least 18 years of age and that all above information is correct and current.*

    1. Yes

    1. No
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