Rabbit Waiting List Form
Please note: Due to the demand for placements at the rescue, we are forced to operate a waiting list. Placements become available when animals are adopted from the rescue and we are therefore unable to give any estimation to waiting times.
About You
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Email
*
example@example.com
Landline
Mobile
Preferred contact method
Email
Text
Phone (landline only)
This is the method we will use to contact you when a placement is available at the rescue
About the rabbit/s
How many rabbits do you wish to surrender?
*
1
2
3
4
5
If you wish to surrender more than 5 rabbits please contact the rescue directly at team@nibbles.org.uk
Why do you need to re-home the rabbit/s?
*
How long have you owned the rabbit/s?
*
Where did you obtain the rabbit/s?
*
The rabbit/s is currently living
*
Outside
As house rabbits
Rabbit 1
Name of rabbit
*
Age of rabbit
*
Sex of rabbit
*
Male
Female
Unknown
Has the rabbit been neutered?
Yes
No
Don't know
Has the rabbit had a Nobivac vaccine within the past 12 months?
*
Yes
No
Has the rabbit had a Filavac vaccine within the past 12 months?
*
Yes
No
Please take a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination. (mobile only)
Please upload a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination.
Is this rabbit currently living with another rabbit?
Yes
No
Name of companion
Rabbit 2
Name of rabbit
Age of rabbit
Sex of rabbit
Male
Female
Unknown
Has the rabbit been neutered?
Yes
No
Don't know
Has the rabbit had a Nobivac vaccine within the past 12 months?
Yes
No
Has the rabbit had a Filavac vaccine within the past 12 months?
Yes
No
Please take a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination. (mobile only)
Please upload a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination.
Is this rabbit currently living with another rabbit?
Yes
No
Name of companion
Rabbit 3
Name of rabbit
Age of rabbit
Sex of rabbit
Male
Female
Unknown
Has the rabbit been neutered?
Yes
No
Don't know
Has the rabbit received a Nobivac vaccine within the last 12 months?
Yes
No
Has the rabbit received a Filavac vaccine within the last 12 months?
Yes
No
Please take a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination. (mobile only)
Please upload a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination.
Is this rabbit currently living with another rabbit?
Yes
No
Name of companion
Rabbit 4
Name of rabbit
Age of rabbit
Sex of rabbit
Male
Female
Don't know
Is the rabbit neutered?
Yes
No
Don't Know
Has the rabbit received a Nobivac vaccine within the pat 12 months?
Yes
No
Has the rabbit received a Filavac vaccines within the past 12 months?
Yes
No
Please take a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination. (mobile only)
Please upload a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination.
Is this rabbit currently living with another rabbit?
Yes
No
Name of companion
Rabbit 5
Name of rabbit
Age of rabbit
Sex of rabbit
Male
Female
Don't know
Is the rabbit neutered?
Yes
No
Don't know
Has the rabbit received a Novibac vaccine within the past 12 months?
Yes
No
Has the rabbit received a Filavac vaccine within the past 12 months?
Yes
No
Please take a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination. (mobile only)
Please upload a photo of the vaccine record card which would have been provided to you at the time of vaccination by your vet. If you do not have a vaccine record card then please answer no to the above questions about vaccination.
Is this rabbit currently living with another rabbit?
Yes
No
Name of companion
Submit
Should be Empty: