What type of rabbit are you looking for?  
Are you a veteran or active military member? (We proudly waive the adoption donation for those who have a valid military ID or DD214) Yes
First Name 
Last Name 
Street Address 1 
Street Address 2 
Zip/Postal Code 
What county do you live in? 
What is your email address? 
Phone Number 
Please provide a second, alternate phone number. 
How did you hear about Animal Friends? 
Please indicate your age range. (Here's why we're asking: you must be 21 or older to adopt. Adopters over 60 are eligible for special benefits.)  
How much are you willing to spend on your rabbit in one year? $0-$250
How long have you lived at this address? 
Do you: Own a home
 Rent to own
 Live with parents
 Live with a partner
 Live with roommates
 Live alone
Would this be your first rabbit? 
Why do you want a rabbit?
Is this rabbit a gift for someone? 
Will this rabbit have outdoor access? 
Will this rabbit live: 
Are you familiar with introducing a new rabbit to the household? 
Do children under age 18 visit (or live in) your home?  
What provisions will you make if you can no longer care for your rabbit?
Have you considered what you will do with your rabbit if a common situation arises, including behavior concerns, pet-related allergies, moving,a change in financial situation? 
Please indicate the animals that have lived with you in the past 5 years: Spayed or Neutered dog(s)
 Spayed or Neutered cat(s)
 Spayed or Neutered rabbit(s)
 Unaltered dog(s)
 Unaltered cat(s)
 Unaltered rabbit(s)
 Other animal(s)
 I have not lived with any pets in the past 5 years.
Are any of these pets no longer with you? If so, let us know why they no longer live with you. (Leave blank if this will be your first pet.)
Which of the following live with you RIGHT NOW? Spayed or Neutered dog(s)
 Spayed or Neutered cat(s)
 Spayed or Neutered rabbit(s)
 Unaltered dog(s)
 Unaltered cat(s)
 Unaltered rabbit(s)
 Other animal(s)
 I don't have any pets right now.
If other people live in your household, please list their ages and gender. (Leave blank if you live alone.)
How would you like us to contact you? 
I certify that the above information is true and correct. I understand that any intentional misrepresentation may result in application denial. I understand that Animal Friends reserves the right to refuse the placement of any animal. I understand that submission of an application does not guarantee an adoption.

Rabbit Adoption Application

Animal Friends

Caryl Gates Gluck Resource Center
562 Camp Horne Road | Pittsburgh, PA 15237
Phone: 412.847.7000 | Fax: 412.847.7001
M-F 11 a.m.-7 p.m. | S/S 10 a.m.-5 p.m.

Copyright 2015 Animal Friends Inc.