Adopt a Small Animal

Complete the required fields in the application. You will hear back within 7 days, or please assume your application was not approved. For applications that are approved, a vet check will be done, and then a home visit will be made. If the adoption is approved, an adoption contract will be completed.

* fields are required

General Information

First Name *

Last Name *

Driver's License Number *

Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Have you ever applied for, or adopted, an animal from VAAR? *

If yes, where is the animal now? *

How did you hear about VAAR? *

Home Environment

Home Type *

Please explain your home environment *

Home Ownership *

Please explain ownership status of the property *

Landlord name/Management Company *

Phone Number for Landlord name/Management Company *

How long have you lived at this address? *

On average, how many hours will the animal be left alone during the day? *

Where will the animal spend most of its time? *

Where will the animal be kept while you are away? *

Where will the animal be kept while you are out of town? *

Financial Information

Are you currently employed? *

If no, what is your source of income? *

Who will be financially responsible for this animal? *

What do you estimate will be the annual financial cost of care for your new pet? *

Care of the Animal

Who will be the primary caretaker of the animal? *

Are you committed to taking full responsibility for the animal's health and welfare for the rest of his/her life, which could be 16 years or more? *

I'm adopting for *

Who are you adopting for? *

Are you willing/able to provide the animal with monthly heartworm, flea, and tick protection at your own expense? *

Are you willing/able to provide a yearly exam and vaccines at your own expense? *

In general, what types of discipline/corrections do you use with your pets? *

Family

Are there any children in your household or children who visit frequently? *

Do you or anyone in your household have animal allergies? *

Are there any other people that live in your household (besides yourself)? *

Please list all members of your household.

Name	Age

Pets

Have you previously owned or do you currently own any pets? *

Please list all current pets AND pets you have had in the last 5 years.

Name	Species	Sex	Current Vaccines?	Do you still own the pet? If not, why?

Veterinarian Information Please list all veterinarians that you have taken your pets to in the last 5 years

Name	Phone	Year of Last Visit

In whose name are the vet records?

Do you give VAAR permission to contact these listed veterinarians?

Small Animal-Specific Questions

Why do you want to adopt a small animal? (Select all that apply) *

Other reason *

Additional Information

Any additional information you would like for us to consider when reviewing your application?

By checking this box, I certify that I am the applicant listed above. All information provided on this application is true and correct to the best of my knowledge.