Canterbury and District Animal Centre - rabbit Adoption FormHow did you hear about the Animal Centre?Adopters InformationTitle(Required)Name(Required) First Last Address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneMobile Phone(Required)Email(Required) Enter Email Confirm Email You are looking to offer a home to:(Required) A rabbit Two rabbits No specific choiceMy ideal rabbit would be…..Example: Could be a specific rabbit you’ve seen on our site / National site / our socialsHome LifeHow many people live in your household?(Required)Please enter a number from 1 to 20.Adults:Please enter a number from 1 to 20.ChildrenPlease enter a number from 0 to 20.Ages of childrenIs the above address:(Required) House Maisonette Bungalow Flat Mobile home OtherIs there access to a private garden? Please describe the garden eg. Grassed, paved etcWhat size is your garden? E.g small, medium, large, extra largeIs your garden enclosed? How high is the fencing?If you have photos of your home and garden, please upload them using the option below. This will act as a virtual home visit.If you are having trouble uploading, please email this to adoptme@rspca-canterbury.org.uk Drop files here or Select filesMax. file size: 256 MB. Is there likely to be a significant change to your routines in the next 6 months (new baby, moving house etc.)Are you going on holiday? - If yes when and how long for:Are there any children that regularly visit the property? - If yes who, why and how often? Please give ages.Do you or another member of your household currently smoke?Working LifePlease describe your working pattern:Please describe the working pattern of any other members of the household:On average how long would your rabbit be left on its own and why?Where would the rabbit be kept whilst you are out at work?Experience and other petsHave you owned a rabbit before? - If yes how long for and what happened to them?Where did you get the rabbit?Do you have any other pets? (cats or other species) - How many other pets:Please describe your other pets (for example breed, age, sex, neutered):Please describe the temperament of your existing pets:Are all existing animals up to date with routine vaccinations? (Proof of vaccination must be seen before adopting)Please upload proof of vaccination recordsIf you are having trouble uploading, please email this to adoptme@rspca-canterbury.org.uk Drop files here or Select filesMax. file size: 256 MB. Will the rabbit(s) be kept indoors or outdoors?Please describe the accommodation you intend to keep them in.Please describe the exercise opportunities they will have.Please describe the diet you will provide them.Who will be the primary caretaker?Please provide the name of your vet and if you are happy for us to contact them?What provisions will be made for the rabbit(s) if you are away?Are you prepared to seek veterinary advice and to cover the costs incurred for any treatment given?In the event of a sudden change in circumstance or bereavement, would you have someone who is able to take over ownership of the rabbit(s)?Which age bracket are you in?(Required) 18-25 26-35 36-45 46-55 56-65 66-70 70+Confirmation(Required) By ticking this box I confirm that the above information is truthful and correct
