Pet Application

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Holland Lops
In the Nestbox
Binky's Story
Available for Adoption
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Adoption Application (Pet Homes only)

* Indicates required field

Name *

First

Last

City *

State *

Email *

Phone Number (optional) *

What gender do you prefer? *

Why are you interested in a bunny? *

As a pet For breeding For show 4-H

Are you looking for a specific color or vienna marked? Please describe if you have a preference. *

Please describe who lives at home. Children and ages? Who would be the primary caregiver? *

Please describe your setup for a bunny. What would his/her daily life look like? How long would he/she be alone each day? Would he/she live in a cage, free range, or a combination? Please describe. *

Will your bunny live in an indoor or outdoor setup? *

Indoors only Outdoors only Combination (explain in overall setup)

Please upload photos of your bunny setup. The more the better! :-) If you don't have one yet, then please send photos of your planned living space. *

Max file size: 20MB

Additional Photos *

Max file size: 20MB

Additional Photos *

Max file size: 20MB

Have you had bunnies before? *

Yes No

What other animals do you have at home that you currently care for? Describe their personalities and type of interaction with your new bunny. *

Please share any other information about you and your family that you would like us to know! *

Name of Vet *

Vet's Phone Number *

Would you be ok with us contacting your vet as a reference? *

Yes No

Submit

IMPORTANT! By submitting this adoption application, you agree to our Sales Policy. Please be sure you read it prior to submitting this form. Thank you!

Home
About
Holland Lops
In the Nestbox
Binky's Story
Available for Adoption
Contact us!