Foster Intake Form

    * indicates required

    Your Name *

    Telephone #

    Email *

    Rabbit Name *

    Breed(s) *

    Color(s) *

    Does this rabbit have a microchip?
    YesNo
    If yes...
    What is the number

    Birthdate/Age * (may be estimated)

    Weight

    Sex *
    FemaleMaleDon't know

    Size *
    SmallMediumLargeExtra-large

    Is the rabbit spayed/neutered? *
    YesNoDon't know
    If yes...
    Surgery Date

    Name of Clinic

    Name of Veterinarian

    Intake Date (the date this rabbit left their previous guardian and entered into Rabbit Advocates care) *

    **Attach Relinquishment Form if you have one

    Relinquishment Reason/Rescue Story *

    Bio

    Cats OK
    Dogs OK
    Kids OK

    Any other restrictions?

    Any special needs?
    YesNo
    If yes...
    Explain

    Anything else?

    Photos
    Guidelines for photos:
    Max size 5 MB
    No humans in photo; clean surroundings; simple background
    We can help! Let us know if you would like a bunny photo shoot.