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
HouseApartmentCondo/TownhouseOther
Owned, by you or your spouse/life partnerOwned, by someone else within the houseRented directly from the owner or through management companyRented as part of a group of roommatesLiving rent free with friends/family otherOther
YesNo
YesNoI haven't asked yet
If you are renting, please provide landlord name and contact info:
YesNo
If yes, please explain
Please note, we WILL be contacting your landlord. Please advise your landlord ahead of time to expect our call!
AloneSpouse/PartnerRoommatesParentsMy pets
YesNo
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?*
YesNo
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.*
YesNo
IndoorsGarageYard/OutdoorsEnclosed PatioIndoor/outdoor (doggy door)Other
Indoor/Outdoor (doggy door)Inside OnlyOutside OnlySpecific RoomOther
How many hours per day will your pet be alone?*
Indoor/Outdoor (doggy door)Inside, in crateInside, run of the houseInside, specific roomInside, in the bed with humans if they wantOutside Only (Please specify below, yard, garage, enclosed patio, dog house etc)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
I do not have a yard at this timeUnfenced YardFenced YardOther
No FenceMetal/Chain linkWooden privacyVinylInvisible FenceOther
YesNoN/A (applying to adopt a cat)Other
YesNo
YesNo
Your Experience with Dogs/Cats
I have had dogs/cats of my own as an adultI grew up with dogs/cats or have worked with them but have not had my own as an adultI have never had one or have limited experience with dogs/catsOther
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

YesNo
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:
YESNO
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?*
I do not vaccinate my animals or give them monthly preventativesMy current pets are up to date on vaccinations, but I don’t administer monthly preventativesMy pets are all up to date on their vaccinations and receive monthly preventativesI do not have any pets currently
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