SaveABunny New Client Profile Form
First Name
*
Last Name
*
Contact phone number
*
Contact email
*
Street Address
City
Zipcode
Rabbit Name
*
Estimated date of birth (If you don't know, please estimate)
*
Rabbit Sex
*
Female
Male
Unknown
Is your rabbit spayed/neutered (or "altered")? If yes, please select "Altered Before Shelter Intake"
*
Not Altered
Altered Before Shelter Intake
Description: Breed, color, markings
Rabbit's Size
*
small
medium
large
extra large
Check any special needs related to your bunny
Behavioral
Disability
Medical
Medication
Jumps
Bites
Is your bunny currently vaccinated for RHDV2?
*
NOT VACCINATED
RHVD2 VACCINATED
Veterinarian
Rabbit photo
Proof of RHDV Vaccination. Upload an image (jpg, gif, png) of your RHDV Vaccination record (if available). If you have a pdf, you may email it to boarding@saveabunny.org