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Your details
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First name
Last name
Phone number
*
Email address
*
Current address
*
Street
Suburb
Postcode
Which RSPCA South Australia shelter is closest to you?
*
Please select one
RSPCA Lonsdale
RSPCA Port Lincoln
RSPCA Whyalla
Please note that whilst surrender fees apply, our staff are considerate and understanding to individual financial situations and can discuss options with you
• Dogs/puppies- $75 & different price for multiple • Cats/kittens- $60 & different price for multiple • Rabbits- $60 & different price for multiple • Reptiles- $20 & different price for multiple • Other small pets- $20 & different price for multiple •
Your rabbit's details
If you wish to surrender more than one animal, please fill out one form per animal.
Rabbit's name
*
Rabbit's Date of Birth (if known)
Does not need to be exact, but as close to as possible.
DD slash MM slash YYYY
Age
*
Breed
*
Colour(s)
*
Gender
*
Please select one
Female
Male
Is your rabbit spayed/neutered?
*
Please select one
Yes
No
Unsure
Is your rabbit microchipped?
*
Providing your microchip is important as it allows us to start processing your rabbit prior to their arrival at the shelter.
Please select one
Yes
No
Unsure
If yes, what is the microchip number?
Is the rabbit microchipped to you?
RSPCA SA can only accept surrenders from the microchipped owner. (When microchipped)
Yes
No
Unsure
I understand I'm required to change the microchip details in to my name prior to surrender.
Yes
No
Where did you get rabbit from?
*
How old was the rabbit when you acquired him/her?
*
How long have you had your rabbit?
*
Are you surrendering your rabbit because you can't afford vet treatment?
*
Please select one
Yes
No
If no, why are you surrendering your rabbit?
Lifestyle and home life
Is your rabbit allowed inside?
*
Please select one
Yes
No
Sometimes
Is your rabbit allowed outside?
*
Please select one
Yes
No
Sometimes
Where does your rabbit prefer to spend most of its time?
*
Please select one
Indoors
Outdoors
Where is your rabbit kept when no one is home?
*
Where does your rabbit sleep at night?
*
How much time does your rabbit spend on its own?
*
Does your rabbit like to keep you company when you are home?
*
Please select one
Yes
No
Sometimes
Does your rabbit use a litter tray?
*
Please select one
Yes
No
Most of the time
If no, where does your rabbit toilet?
Goes outside
Does your rabbit spray?
*
Please select one
Yes
No
If yes, where and when?
Do you have any other rabbits?
*
Please select one
Yes
No
Do you have any other pets?
*
Please select one
Yes
No
If yes, what are your other pets?
How does your rabbit interact with these other pets?
Which pet arrived in your house first?
What are your rabbit's favourite kinds of toys?
*
Social interactions
How would you describe your household?
Please select one
Quiet
Busy
In between
How many adults live in your house?
Please enter a number from
0
to
15
.
Do children live in your household?
Please select one
Yes
No
If yes, what are their ages?
Do any of the children play with the rabbit?
Please select one
Yes
No
If yes, does the rabbit:
Tolerate them
Ignore them
Walk away
Hide from
When playing with children, does the rabbit play too rough?
Please select one
Yes
No
Has your rabbit met....
Please select all that apply.
Many children?
Many adults?
Many other cats?
Many other animals?
Please describe any unpleasant situations involving children, adults, or other animals:
Does your rabbit have free access to visitors?
*
Please select one
Yes
No
Is your rabbit happy to be petted by visitors and strangers?
*
Please select one
Yes
No
If no, how does your rabbit react?
How does your rabbit react to unfamiliar men?
Friendly
Not interested
Avoids them
Hides
How does your rabbit react to unfamiliar women?
Friendly
Not interested
Avoids them
Hides
How does your rabbit react to young children?
Friendly
Not interested
Avoids them
Hides
How does your rabbit react to older children?
Friendly
Not interested
Avoids them
Hides
How does your rabbit react to familiar cats?
*
Friendly
Not interested
Avoids them
Hides
How does your rabbit react to familiar dogs?
Friendly
Not interested
Avoids them
Hides
Behaviour and temperament
How active is your rabbit?
*
Please select one
Very
Moderately
Not Very
Unsure
How playful is your rabbit?
*
Please select one
Very
Moderately
Not Very
Unsure
How affectionate is your rabbit?
*
Please select one
Very
Moderately
Not Very
Unsure
How often is your rabbit handled?
*
Please select one
Daily
Weekly
Monthly
Never
Does your rabbit like to be stroked and touched?
*
Please select one
A lot
Sometimes
No
Unsure
If yes, where?
Is your rabbit outgoing and interactive or shy and likes to be left alone?
*
Please select one
Outgoing and interactive
Shy and likes to be left alone
Does your rabbit enjoy being picked up and handled?
*
Please select one
A lot
Sometimes
No
Unsure
Has your rabbit ever bitten anyone (even while playing or scared)?
*
Please select one
Yes
No
If yes, please provide details:
Does your rabbit travel well in the car?
*
Please select one
Yes
No
Is there anything that may cause your rabbit to be nervous or fearful?
*
Please select one
Yes
No
What specifically?
Storms
Fireworks
Loud noises
Camera flashes
Other animals
How does your rabbit react?
Food and feeding
What type of food do you feed your rabbit?
*
If pellets, what type of pellets? What brand? What sort of hay have you been feeding? What types of greens does your rabbit like?
Does your rabbit have a favourite food or treat?
How many times a day is your rabbit fed?
*
Is your rabbit comfortable with people and animals being around when he/she is fed?
*
Please select one
Yes
No
If no, what does your rabbit do in this situation?
Health and vaccinations
Has your rabbit ever had any vaccinations?
*
Please select one
Yes
No
Unsure
If yes, approximately when was the last vaccination?
Can you provide a vaccination certificate to RSPCA?
Please select one
Yes
No
Please upload a copy of your rabbit's most recent vaccination certificate.
This document is crucial in helping us determine whether or not your rabbit might need quarantining.
Drop files here or
Select files
Max. file size: 100 MB.
Has your rabbit been flea and/or worm treated?
*
Please select one
Yes
No
Unsure
If yes, what types of treatment and when?
What is the name of your current vet?
First name
Last name
What are the contact details for your current vet?
How does your rabbit behave at the vet?
When and why was the last time you took your rabbit to the vet?
*
Does your rabbit have any medical conditions/history that you are aware of?
*
Please select one
Yes
No
If yes, please provide full details:
Final details
List three words that would describe your rabbit...
*
For example: loner, affectionate, demanding, playful, food motivated, etc.
What sort of home and family do you believe would suit your rabbit?
*
Are there any quirks or habits you are not fond of in your rabbit?
Is there anything else you would like to tell us about your rabbit?
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
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