For a Microsoft Word format of the adoption application, click here.

For a HTML version of the adoption application, click here.

Thumpqua Adoption Contract.

Please send completed adoption forms and contract to

P.O. Box 18371

Spokane, WA 99218

Date:	Nov 20 2008
First Name:
Last Name:
Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Email:
Phone (i.e. 5039998888)
Have you adopted from River's Wish before?	Yes No
If so, when?	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975
Do you live in a	House Apartment Other
Do you	Rent Lease Own
If you rent or lease, do you have permission to own a rabbit?	Yes No
How long have you lived at this address?	0 1 2 3 4 5 6 7 8 9 10+ Years 0 1 2 3 4 5 6 7 8 9 10 11 12 Months
Are you planning to move soon?	Yes No
What will you do with this rabbit if you move?
Are you adopting this rabbit for:	yourself children gift other
Who will be the primary caretaker of this rabbit?
Is there any member of the household allergic to rabbits?	Yes No
Have you ever owned a rabbit before?	Yes No
If Yes, when?	From: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975      To: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975
Will this rabbit live with another rabbit?	Yes No
If Yes, is this other rabbit spayed/neutered?	Yes No
Will this rabbit live with other house pets?	Yes No         Type: Dog Cat Bird Reptile Other Rodents
Where will the rabbit live during the day?
Where will the rabbit sleep at night?
Are you willing to bunny proof your house or rabbit area?	Yes No
Rabbits require specialized veterinary care. Do you have the name of a qualified verterinarian? Please list.