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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72. Print Only

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