First Name: Last Name:
Year of Birth:
Address:
City: Province: Postal Code:
Daytime Phone: Evening Phone:
Email Address:

1. Have you read and understood the "Fostering for New Moon" document"?
Yes No

If you have not read this document, please do so before proceeding with the application. To view this document, please click here (PDF) or email us at foster@newmoonrabbitrescue.ca to request a copy.

2. Do you currently: Rent Own       Other:
3. If renting, does your agreement permit the keeping of pets? Please note that New Moon Rabbit Rescue may request a signed letter from your landlord.
Yes No
4a. How many adults live in your household?
4b. How many children and what are their ages?
5. Who will be the primary caregiver of this rabbit?
6a. Have you ever surrendered, sold or given away a pet? Yes No
6b. If so, what type of animal and what were the circumstances?
7. Do you currently have any other pets? YesNo
8. If so, please list with type, breed, age and indicate whether or not each pet is altered.
9. Do you currently own any other rabbit(s)? YesNo
10. Does your current rabbit have any medical conditions? Yes No
11. Is your current rabbit spayed or neutered? Yes No
12. Where do you plan on housing your foster rabbit i.e. cage, free-roaming, indoors, outdoors?
13. Please provide details as to how you will be/have been rabbit-proofing your house or apartment.
14. Are you willing to foster a bonded pair? YesNo
15. Are you willing to foster more than one rabbit at a time (must be kept separate)? YesNo
16. Are you willing to foster rabbits with special medical needs? YesNo
17. Are you willing to work with rabbits who have emotional or fear issues?
YesNo
18. Do you have any constraints on the time period you are available to foster a rabbit? YesNo
19. What would you require New Moon Rabbit Rescue to supply?
20. Are you willing to have potential adopters in your home to meet your foster rabbit(s)? YesNo
21. Rate your knowledge of rabbit care, 1 being little to none and 5 being very experienced:
1 2 3 4 5
22. Additional comments: