BUNNY MAGIC ONLINE INFORMATION REQUEST 

Unfortunately, Bunny Magic is having some problems with the webserver.  This form is periodically crashing. If you get an error message, or do not get a response from us within 3 days please copy the information on this form and paste it into an email to LauraR1000@aol.com.  Thank you!

Required fields marked with an *.  However, we encourage you to answer every question thoroughly.  It will allow us to better be able to assist you!  

Please note: Information not required at this stage may be required later in the adoption process.

Your Name*

Your City & State*

Your Email Address* 

Best Phone Number where we  can reach you Day Evening

Are you over 18?* yesno  If No, how old are you?

How many people in the household are*:

        Under 8  , 8-18  , Adult 

If under 8, what age(s) are the children? 1 2 3 4 5 6 7 

Who will be the primary caregiver for the rabbit?* 

What is your housing situation? * Own Home Rent Home Rent Apartment or Condo College Dorm

If required, are you able to provide proof of that landlord allows petsyes no

Please describe where and how you intend to house your rabbit(s)*: (If you are not sure, please say so and we will be happy to provide suggestions and information about housing! Please let us know if rabbit will be indoors or outdoors)

Is this rabbit intended as a gift/surprise for some else? *yesno 

Have you ever had a rabbit (not currently)?* yesno 

If yes, why do you no longer have it?

Do you have any rabbits currently? *Yes No 

If yes, are they spayed/neutered?* Yes No 

If yes, are you looking for a companion for your rabbit? *Yes No 

Do you have any other pets currently?* Yes No 

If yes, what kind, and how many?

Not including current pets, what other pets have you had in the past five years, and

why do you no longer own it.  If the animal died, please list how, and its age.

Have you ever surrendered a pet to a shelter or rescue? *Yes No 

If yes, please describe the circumstances

Desired breed or characteristics of a rabbit you are interested in:

Male Female  No preference

Lop Up-ear  No preference

No preference baby (under 3 mos.) under 1 year 1-2 yrs over 2 years senior (5 and over) Age (mark all that apply)

Other characteristics or breed specifics?

Are you interested in a particular Bunny Magic Rabbit?  Which one(s)?

Is there anything else you would like to share with us to help us determine which of our available bunnies are the right choice for your family?

How did you hear about Bunny Magic ? Petfinder.org Targeted web search Vet referral Pet Store referral Word of mouth Other

Do you have any questions for Bunny Magic at this time?