Rabbit application form

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Step 1 of 5 - A few details about you

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Rabbit's name*

Please provide the name and reference number of the rabbit you are interested in. If there are multiple rabbits e.g. a litter of rabbits and you have no preference for an individual, please specify 'No preference'

Further preferences

If there are multiple rabbits e.g. a litter of rabbits, please specify if you have any preferences regarding the sex of the rabbit, colour or any other specific requirements

Name*

First Last

Address*

Address line 1 Address line 2 Town/City County Postcode

Address*

Address line 1 Address line 2 Town/City County Postcode

Home telephone number*

Mobile telephone number

Work telephone number

Email*

Why are you looking to adopt a rescue rabbit?*

Are you looking for an indoor or outdoor rabbit?*

Indoor

Outdoor

Indoor and outdoor

Are you looking for a single rabbit or pair?*

Single

Pair

Which veterinary practice do you register your pets with?*

Please give details of the veterinary practice you typically use to register your pets with. If you are not registered with a veterinary practice, please specify 'Not registered'

Where did you first see the animal you are interested in?*

RSPCA Chesterfield Branch website

Social media

RSPCA 'Find a Pet'

Visit to the centre

Other

Do you own your own property?*

Own

Rent

HM Forces

Council/housing trust

Other

Do you have permission from your landlord in writing to have a rabbit at the property?*

Yes

Don't know

Upload landlord's permission*

Please upload below evidence of your landlord's permission. This could be a letter, copy of your tenancy agreement or a photograph/screenshot of your permission.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB, Max. files: 2.

Please note - If you do not have your landlord's permission in writing, then you will not be able to submit your application. Please therefore obtain this permission before completing your application. Thank you.

Is there access to a private garden/yard?*

Yes

Do you have the rabbit accommodation already set up (hutch/shelter & exercise run)?*

Yes

What size is the shelter (hutch/shed)?*

Please provide measurements for the width, height and depth of the shelter

What size is the exercise area (run)?*

Please provide measurements for the width, height and depth of the exercise area or measurements on the general indoor space for house rabbits

For outdoor rabbits, is the exercise area (run) permanently attached to the hutch/shelter?*

Yes

n/a

Please provide images of your rabbit accommodation*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

Your details*

Name

Full/Part time work, not working, retired, student etc.

Days/times absent from home

Details of any other adults (over 16 years of age) living at the address

Please provide details of any other adults who live at the address

Name

Full/Part time work, not working, retired, student etc.

Days/times absent from home

Please state which adult will be the primary carer of the rabbit*

Number of children (under 16 years old) living at the address*

Please specify ages of children (if applicable)

Details of all animals living at the accommodation or that visit on a regular basis

If there are no animals living at the address, please leave this section blank

Type of animal

Breed

Living or visiting?

Age & Sex

Neutered?

Any recent illnesses?

Date of last vaccination

Paying for veterinary fees is part of responsible pet ownership. These fees can be routine but also unexpected and can easily run into hundreds of pounds, or more. How will you pay for veterinary fees?*

Wages

Benefits

Savings

Insurance

Other

Have you owned a rabbit before?*

Yes

For how long have you owned rabbits?*

Have you adopted from the RSPCA or any other animal rehoming organisation before?*

Yes

Please provide further details of the animals you have previously adopted from the RSPCA or other animal rehoming organisations*

Have you brought an animal to the RSPCA for re-homing?*

Yes

Please provide further details on animals you have brought to the RSPCA for rehoming*

Please feel free to provide any additional information to help support your application

Are you in agreement that a volunteer makes a pre-home visit and possibly a post visit in due course?*

Yes

Keep in touch*

We’d love to keep in touch with updates about the animals in our care, our work in the community, upcoming events, and ways you can support the centre. If you choose to hear from us, we will contact you by email using the details you provide. You can unsubscribe at any time. Would you like to receive these email updates from us?

Yes

All personal information supplied by you on this application form will be processed by the RSPCA Chesterfield & North Derbyshire Branch CIO whose privacy policy is available and published at privacy notice.

This information will be held on a database at the animal centre and may be used for the purpose of the branch's re-homing process. This may involve sharing your information within the Branch and with third parties such as the National RSPCA, other RSPCA branches, veterinary practices and pet insurance companies. I am over 18 years old. The information I have provided is accurate at the time of completion.

Consent*

Submitting this form confirms you understand and are in agreement with the above statement.

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More ways to support us

More ways to support us

Rabbit application form