Rabbit Surrender Form

We understand that circumstances change. Thank you for choosing to surrender your rabbit(s) to our care rather than abandoning them. We'll do our best to find them loving homes.

Privacy & Data Collection

How we use your address information:

We collect your address to process your application and coordinate rescue activities. Your location data helps us match you with nearby rabbits and plan home visits. We use Google Maps to verify addresses and capture coordinates for distance calculations. You can opt out of location features or provide your address manually. Your data is kept secure and you can request deletion at any time.

I consent to the collection of my address information *

Required to process your application and coordinate rescue activities.

I consent to the collection of my location coordinates (optional)

Helps us calculate distances and provide location-based matching. You can still complete your application without this.

I want to receive location-based features (optional)

Get matched with nearby rabbits and receive location-relevant updates.

I understand the data retention policy *

Your data is kept for 2 years after application completion. You can request deletion at any time.

Please address the following:

•Consent for address collection is required to process your application.
•You must acknowledge our data retention policy to proceed.

Your Contact Information

First Name *

Last Name *

Email *

Phone *

Address *

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Rabbit Information

Rabbit #1

Name *

Approximate Age

Gender

Breed (if known)

Weight (kg)

Spayed/Neutered?

Microchip ID (if applicable)

Medical History / Health Issues

Include any current medications, allergies, or health concerns

Personality & Behavior

Special Needs or Requirements

Reason for Surrender *

Photos

Drag & drop photos , or click to select

Up to 5 photos (JPEG, PNG, WebP)

Photos help us care for and find homes for your rabbit

Additional Information

How did you acquire these rabbit(s)? *

How long have you had them? *

These rabbits are bonded pairs (should be adopted together)

I have veterinary records available

Veterinarian Name & Phone (if applicable)

Additional Information

You may contact me if you need additional information