Adoption Application 2024/2025

Adoption Application

*Please note - You must be 21 year of age or older to adopt from our rescue.
Which cat(s) or dog(s) are you interested in? :
If cats, how many cats are you interested in adopting? :
How did you find out about our rescue?
How soon are you looking to add a furry family member to your household?
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
How long have you lived at your current address?
Email
example@example.com
Provide a reference that is NOT a member of your immediate family
Personal Reference Please list name, relationship, years known and phone number
About Your Home
Your home is:

Other
Your home is:

Other
If renting, is your name on the lease?:
If renting, do you have your landlord's permission to have a dog/cat?
If you are renting, please provide landlord name and contact info:
Are you planning to move soon?
If yes, please explain
Please note, we WILL be contacting your landlord. Please advise your landlord ahead of time to expect our call!
Check all that apply. Who do you live with?
Are all parties of the household on board and willing to help with the care of a new addition?
Please list: Full name, (INCLUDING SELF), ages & relationship of all ADULTS who live in the household.
FULL NAME, AGE, RELATIONSHIP (INCLUDING YOURSELF)
Who will be the main caregiver of the cat/dog?
Are there children in the home?:
If yes, please list ages:
If children in the home, what age do you feel children are responsible enough to take care of a pet without assistance? (i.e. walk, feed, train). If no children, mark N/A.
Does anyone in your household have an allergy to dogs/cats that you are aware of?:
Where will your pet stay during daytime hours when you are home?

Other
Where will your pet stay during daytime hours when he/she is home alone?:

Other
How many hours per day will your pet be alone?
Where will your dog/cat sleep at night?:

Other
What room(s) are off limits to your pets?:
Your Yard

*Please SKIP to the next section if applying to adopt a cat/kitten
My Yard is:

Other
My fence is:

Other
My fence can/will securely contain the dog I am applying to adopt.

Other
Do you have a doggy door?
Is your yard shared?:
Your Experience with Dogs/Cats
How would you describe your dog/cat owning experience?

Other
If adopting a kitten/cat, will you be declawing?
How would you handle destructive behavior? (cat -scratching or urinating out of box or dog - accidents in the house, excessive barking)
Describe the kinds of personal situations where you may have to return your adopted cat or dog, e.g. moving, job loss, children, marital change, etc
Have you ever had to rehome or surrender a pet? If so, can you tell us what led to that decision?
What arrangements will be made for your pet when you are traveling?

Describe all pets you have owned in the last FIVE years (IMPORTANT: THERE ARE 12 BOXES ON EACH PET YOU LIST. TAB TO THE RIGHT TO COMPLETE ALL QUESTIONS).

Rows	Name	Type (cat/dog/?)	Breed (if dog)	Age	Sex	Weight (Approx.)	Spayed/Neutered	On heartworm preventative?	Indoor/Outdoor	Where is pet now?	If alive, how long have you had this pet?	If deceased, please explain	If deceased, date passed away
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

Have you ever had an application declined for adoption of an animal from an animal welfare group/animal control center?
Reason for being declined to adopt in the past? (Put N/A if not applicable.)
Do you understand this is a 10-20 year commitment, the lifetime of your pet?
What kind of veterinary care do you plan to provide (after the vet care covered by the rescue is completed)?
If administering heartworm preventative, please indicate where you purchase from if not from the vet practice listed. *Proof of purchase is required.
VET REFERENCES: Where do your current or past pets listed above go for vet care? If no current or past pets, put N/A in each required field.
Name of Practice:
Name of Vet:
Phone # of Vet:
NOTE: Many vets now require owner's permission to disclose vet history. Please contact your vet to tell them a representative from Vintage Racers for Rescues will be calling for this history so that the processing of your application will not be delayed.
Name and phone # vet records are listed under:
Any other info that would be helpful for us to know:
Are you prepared to spend $500 or more in the event of an emergency vet visit?
Pets can live many years. If your pets were to outlive you, or you are no longer able to care for your pet for any reason, what would happen to them?
Should you no longer be able to care for your pet(s), is the person(s) or group listed above aware of this plan?
Pets in Household:
CURRENT PETS IN HOUSEHOLD: We require all pets in the adopters home to be up to date on veterinary care. A veterinary reference WILL BE CONTACTED. If any pets in the household are behind on veterinary care, this will result in a denied application. By submitting this application I agree/confirm all pets in my household are up to date on vaccines and preventative care. I also understand that my landlord, personal references and veterinarian's office will be contacted during application processing.
I have read the above information carefully and have filled out this application truthfully. I understand that omission of information, false information and/or failure to answer all questions will result in this application being denied.

We reserve the right to refuse adoption to any applicant for any reason.

I understand that my name and date below represent my signature for the purpose of this application.
Your full name:
Date

MonthDayYear
Date
Signature
Should be Empty:

Adoption Application

Provide a reference that is NOT a member of your immediate family

About Your Home

Please note, we WILL be contacting your landlord. Please advise your landlord ahead of time to expect our call!

Your Yard

Your Experience with Dogs/Cats