Adoption Questionnaire and Adoption Contract
At Wonder Bunny Rabbit Rescue, we hope to make the adoption process as easy and meaningful as possible. Below you will find two forms. The first is an Adoption Questionnaire and the second is an Adoption Contract. Please take a few minutes to download these forms, print and fill them out. The details that you share will help us provide the best match with your new bunny. Bring the complete forms with when you visit us and we will take it from there.
FORM 1: ADOPTION QUESTIONNAIRE for POTENTIAL PARENTS
Personal Information:
Name:_______________________________________________________________
Home Phone: ________________________ Cell #: __________________________
Spouse’s Name (if applicable): ___________________________________________
How many children in your home? __________ Ages: ______________________
Are there any others residing in your home? Please List:_____________________
_____________________________________________________________________
Employer Name: ______________________________ Phone: __________________
Employer Address: _____________________________________________________
City: ____________________________________ State:________ Zip: __________
How long have you been there? __________________________________________
Residential Information:
Home Address: ________________________________________________________
City: ___________________________________ State: __________ Zip: ________
Is this where the pet will live with you? __________________________________
How long have you resided at this address? ______________________________
If less than two years, what was your previous address? ____________________
_____________________________________________________________________
Do you Rent or Own: Apartment? ________ House? ________ Condo? ________
Mobile Home? __________ Other? _______________________________________
What happens to the pet if you move?____________________________________
_____________________________________________________________________
If renting, what is your Landlord’s name? ________________________________
Landlord’s Phone: _____________________________________________________
Have you received permission from your landlord? __________________________
Other Adoption Information:
What do you think makes this particular pet a good choice for you? __________
______________________________________________________________________
______________________________________________________________________
How will you exercise your pet? ___________________________________________
______________________________________________________________________
How many hours are you away from home during the average work day? _____
Where will your pet be kept during that time?______________________________
Where will your pet be sleeping during the night? __________________________
What kind of other pets do you have in the home? Please list:
_______________________________________________________________________
_______________________________________________________________________
Are they all current on their vaccinations? __________________________________
Your Veterinarian’s Name: _______________________________________________
City: __________________________________ Phone: _________________________
Does anyone in the household have allergies? ________________________________
Does anyone in the household have Asthma? ________________________________
Have you or anyone in your household ever been convicted of animal cruelty, neglect,
or abandonment? ________________________________________________________
Have you ever had to give up a pet? Please explain: ___________________________
________________________________________________________________________
Are there any other comments you would like to make? ________________________
________________________________________________________________________
________________________________________________________________________
I, (name)__________________________________ certify that all information provided on this form is true. I give permission to Wonder Bunny Rabbit Rescue to verify information as needed. I understand that a home check may be mandatory prior to adopting a pet, also. Any false statement will terminate potential adoption.
Signature: _________________________________________ Date: __________________
FORM 2: ADOPTION CONTRACT
Adopter’s Information:
Name:____________________________________Spouse/Other_________________
Address:_______________________________________________________________
City:__________________________State:_____________Zip Code: _______________
Home Phone:______________________ Cell Phone: ____________________________
Email Address: ________________________________++________________________
Driver’s License: ___________________________ License Plate: ___________________
This contract is a written agreement to transfer ownership of adoptive pet from Wonder Bunny Rabbit Rescue to the Adopting Parent(s) (name)_______________________________________ on this date: _________________________________.
Adoptive Pet’s Information:
Name:______________________________________________________________
Male/Female: _________ Date of Birth or assumed age: ________________
Color:____________________ Description/Breed:______________________________
Shelter Fees: $_______________________ Vet Fees: $___________________
Adoption Fee:
Rescuer and Adopting Parents have agreed upon the sum of $ _______________ donation to Rescuer for help with expenses incurred by saving this pet from the shelter and vet bills.
Adoptive Parent(s) Agreement
I, (adoptive parent(s) name):______________________________________________ agree to provide care from this day forward to my new pet. This includes adequate food, water, exercise, shelter, veterinary care, and lots of love.
I agree never to sell, trade, or surrender the pet to any agency without giving prior notice to Wonder Bunny Rabbit Rescue.
I agree that Wonder Bunny Rabbit Rescue will have first option of reclaiming the pet.
I agree that the adoption fee is non-refundable and there is no reimbursement if the adoption does not work out unless agreed upon by Wonder Bunny Rabbit Rescue in terms listed below:
_____________________________________________________________________
______________________________________________________________________
______________________________________________________________________
I agree that all expenses incurred after I take possession of pet will be my sole responsibility and Wonder Bunny Rabbit Rescue is released of any and all liabilities whether financially or other.
I hereby understand that Wonder Bunny Rabbit Rescue has obtained this animal from a rescue effort above and may have no prior information of age, breed, health issues, training, registration, or other. Any information shared by Wonder Bunny Rabbit Rescue is of own experience with the pet and Wonder Bunny Rabbit Rescue makes no warranties of any kind concerning pet.
Adoptive Parent(s) signature: ____________________________________________ Date: ___________________
Adoptive Parent(s) signature: ____________________________________________ Date: ___________________
Personal Information:
Name:_______________________________________________________________
Home Phone: ________________________ Cell #: __________________________
Spouse’s Name (if applicable): ___________________________________________
How many children in your home? __________ Ages: ______________________
Are there any others residing in your home? Please List:_____________________
_____________________________________________________________________
Employer Name: ______________________________ Phone: __________________
Employer Address: _____________________________________________________
City: ____________________________________ State:________ Zip: __________
How long have you been there? __________________________________________
Residential Information:
Home Address: ________________________________________________________
City: ___________________________________ State: __________ Zip: ________
Is this where the pet will live with you? __________________________________
How long have you resided at this address? ______________________________
If less than two years, what was your previous address? ____________________
_____________________________________________________________________
Do you Rent or Own: Apartment? ________ House? ________ Condo? ________
Mobile Home? __________ Other? _______________________________________
What happens to the pet if you move?____________________________________
_____________________________________________________________________
If renting, what is your Landlord’s name? ________________________________
Landlord’s Phone: _____________________________________________________
Have you received permission from your landlord? __________________________
Other Adoption Information:
What do you think makes this particular pet a good choice for you? __________
______________________________________________________________________
______________________________________________________________________
How will you exercise your pet? ___________________________________________
______________________________________________________________________
How many hours are you away from home during the average work day? _____
Where will your pet be kept during that time?______________________________
Where will your pet be sleeping during the night? __________________________
What kind of other pets do you have in the home? Please list:
_______________________________________________________________________
_______________________________________________________________________
Are they all current on their vaccinations? __________________________________
Your Veterinarian’s Name: _______________________________________________
City: __________________________________ Phone: _________________________
Does anyone in the household have allergies? ________________________________
Does anyone in the household have Asthma? ________________________________
Have you or anyone in your household ever been convicted of animal cruelty, neglect,
or abandonment? ________________________________________________________
Have you ever had to give up a pet? Please explain: ___________________________
________________________________________________________________________
Are there any other comments you would like to make? ________________________
________________________________________________________________________
________________________________________________________________________
I, (name)__________________________________ certify that all information provided on this form is true. I give permission to Wonder Bunny Rabbit Rescue to verify information as needed. I understand that a home check may be mandatory prior to adopting a pet, also. Any false statement will terminate potential adoption.
Signature: _________________________________________ Date: __________________
FORM 2: ADOPTION CONTRACT
Adopter’s Information:
Name:____________________________________Spouse/Other_________________
Address:_______________________________________________________________
City:__________________________State:_____________Zip Code: _______________
Home Phone:______________________ Cell Phone: ____________________________
Email Address: ________________________________++________________________
Driver’s License: ___________________________ License Plate: ___________________
This contract is a written agreement to transfer ownership of adoptive pet from Wonder Bunny Rabbit Rescue to the Adopting Parent(s) (name)_______________________________________ on this date: _________________________________.
Adoptive Pet’s Information:
Name:______________________________________________________________
Male/Female: _________ Date of Birth or assumed age: ________________
Color:____________________ Description/Breed:______________________________
Shelter Fees: $_______________________ Vet Fees: $___________________
Adoption Fee:
Rescuer and Adopting Parents have agreed upon the sum of $ _______________ donation to Rescuer for help with expenses incurred by saving this pet from the shelter and vet bills.
Adoptive Parent(s) Agreement
I, (adoptive parent(s) name):______________________________________________ agree to provide care from this day forward to my new pet. This includes adequate food, water, exercise, shelter, veterinary care, and lots of love.
I agree never to sell, trade, or surrender the pet to any agency without giving prior notice to Wonder Bunny Rabbit Rescue.
I agree that Wonder Bunny Rabbit Rescue will have first option of reclaiming the pet.
I agree that the adoption fee is non-refundable and there is no reimbursement if the adoption does not work out unless agreed upon by Wonder Bunny Rabbit Rescue in terms listed below:
_____________________________________________________________________
______________________________________________________________________
______________________________________________________________________
I agree that all expenses incurred after I take possession of pet will be my sole responsibility and Wonder Bunny Rabbit Rescue is released of any and all liabilities whether financially or other.
I hereby understand that Wonder Bunny Rabbit Rescue has obtained this animal from a rescue effort above and may have no prior information of age, breed, health issues, training, registration, or other. Any information shared by Wonder Bunny Rabbit Rescue is of own experience with the pet and Wonder Bunny Rabbit Rescue makes no warranties of any kind concerning pet.
Adoptive Parent(s) signature: ____________________________________________ Date: ___________________
Adoptive Parent(s) signature: ____________________________________________ Date: ___________________