Please copy this application from the web site, paste it into an email message, complete the application, and send it to the Chapter Manager, Davida, at hazelbert@roadrunner.com. Davida does not have MS WORD on her home computer so please do not send the application as a WORD document as that will cause a delay. Thanks!

Full Name ________________________
Address _________________________________________
City_________________________
Home # and best time to call ______________________
Work # _______________________
Cell # _________________________
Any alternate email address ___________________
How did you hear of NYSHRS ?

Our adoption fee is $65 and only partially defrays our vet costs since the spay/neuter fee for a rabbit is itself more than $65. Is the $65 fee acceptable to you? ____________________________________

Please list ALL members of your household, and ages
________________________________________________________
________________________________________________________
________________________________________________________
Please list ALL current pets
________________________________________________________
_________________________________________________________
Do you have any experience with bunnies? If so, please tell us when and what your experience was. Was you bunny spayed/neutered?

If you do not have any bunny experience, do you need help with information/resources?

Have you read House Rabbit Handbook and the national website, www.rabbit.org ?

Do you currently own a rabbit?

If so, is s/he spayed/neutered? are there current health problems?

May we contact your veterinarian for a reference (please list the name)?

Where is your rabbit housed?

How much exercise time is provided?

What diet do you feed?

Who in the household is responsible for your rabbit's care?

Do you ever allow your rabbit outdoors?

What would you do if your rabbit did something which you considered undesirable -- like excessively chewing?

If you currently rent, does your landlord permit you to have a rabbit?

If you are looking for a partner for your current rabbit, please tell us about your pet's personality.

Which bunnies on our website interest you?

How far can you drive to visit foster homes?

Thank you for your application. You will be contacted shortly by your regional coordinator for NYSHRS. A home visit is usually done, and an adoption contract is required. Our adoption fee is $65. We do not ship rabbits, but once the screening is completed if there is a rabbit in our system in another part of the state who interests you, we can sometimes arrange part way transportation. Thank you.

Please email the completed application to the Chapter Manager at: hazelbert@roadrunner.com