Adopt a Small Animal

Complete the required fields in the application. 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

Application Code *

In order to submit an application you must first contact an adoption counselor about the animal that you are interested in. They will provide you with the code to use for your application. You cannot submit the application without this code!

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.