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Your Name
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Address 1
Address 2
Address 3
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Town
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Post Code
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Home Telephone No
Mobile No
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Email Address
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PACT asks a minimum donation of £70 for rabbits, to help cover costs of neutering, vaccinating, microchipping and health checks. Are you able to pay this?
Yes No *
Have you seen a specific rabbit on our website/Facebook? If so, who?
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Are you a first time rabbit owner?
Yes No *
Do you want a male or female rabbit?
Male to be bonded with female Female to be bonded with male Pair/multiple rabbits *
Is there a particular breed you are looking for?
Lop Dwarf Lionhead Rex Giant Any *
What age range are you happy to adopt? Please check all that apply
Kitten - 1 year 1 year - 3 years 3 years - 7 years 10 years + Any age considered *
Would you be prepared to take on a rabbit with health issues? (all costs for treatment of existing conditions are covered by PACT)
Yes No *
Have you ever had to give up an animal before? If yes, please explain. If no, write n/a
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What type of property do you live in?
In the town or city centre In a suburban housing estate Rural village Rural house on it's own Farm If Other, please specify
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Do you own or rent your home?
Own Rent *
If you rent your home, do you have the landlord's permission to adopt a rabbit?
Yes No Not applicable *
Please give detail of where the rabbit(s) will be living e.g. indoor/outdoor, please give measurements if possible
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How many adults live in your household?
1 2 3 4 5 More than 5 *
Please give the ages of all the adults who live at the property
If applicable, please give the ages of any children living in the property
Do children regularly visit your home?
Yes, at least once a week Yes, no more than a few times a year (birthdays, christmas etc) No *
What other animals currently live in your house? Please include breed, sex and age of animals.
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If you own other animals are they all spayed/neutered?
Yes No Not applicable *
If you've answered No to the above question, please give the reason why they are not neutered.
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Are all the animals you own inoculated/vaccinated annually and will you continue to inoculate the rabbit(s) you want to adopt? Rabbits need vaccinating every year.
Yes No If you answered no to the above question, please explain here.
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Please tell us about your experience of owning rabbits.
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Are you prepared to take out insurance on your rabbit?
Yes No If you are looking for a friend for an existing rabbit, would you need us to bond for you or would you be happy to do it yourself with guidance from staff?
Bond at PACT Bond myself Unsure *
Is anyone in the household planning a baby in the near future?
Yes No *
How would you describe the environment in your home?
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Are you going on holiday or moving house in the next 6 months?
Yes, going on holiday Yes, moving house No *
Do you have reliable transport to take your rabbit(s) to the vets?
Yes No *
Do you feel you can comfortably afford a new pet?
Yes No Any other information we may need to know about you, what you are looking for or your circumstances that may help? Please tell us here or if you have filled this form out for someone else
