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APPLY FOR ADOPTION

PLEASE, do not submit an application unless you are seriously considering adoption and know the name(s) of the animal(s) that you are interested in adopting.  All parties concerned must agree to adding a new pet to your household. Please do not apply until the time you are ready to take your pet home.  You are expected to take the new addition to your family home at the time of your adoption meeting after your application has been approved.  You must be over 18 in order to fill out an adoption application.

Name *
E-mail Address *
Spouse/Partner's Name
ADDRESS (including city and zip code) *
HOME PHONE NUMBER *
WORK PHONE NUMBER
I am interested in adopting a: * Cat
Kitten
Dog
Puppy
Name of pet you are interested in adopting (must be currently listed under available pets) *
Do you own your own home? If you live with a parent and they own the home you must include their contact information. * Yes
No
Do you live in a: Home
Condominium
Apartment
Mobile Home Park
If no, does your landlord allow pets?
Landlord's name and phone number
Your reasons for adopting a pet are: * Watchdog
Companion for family
Breeding
Gift
Hunting
How many adults live in your home? *
Please list all children and their ages *
List all pets owned in the last five years (including names) *
Name and phone number of your current or most recent veterinarian *
Are the animals currently in your home or those you had in the past spayed/neutered? *
Are the animals currently in your home or those you had in the past up to date on vaccinations? *
Please explain what happened to those pets no longer living with you
Did any pets die from: * Distemper
Parvo
Leukemia
Feline AIDS
Unknown causes
None
Where will/do/did your pets spend most of their time? Indoors
Outdoors
Both
Where will/do/did they sleep? Indoors
Outdoors
Both
How will you keep your pet safe when you are away from home? * Fenced yard
Chain
In House
Indoor kennel/crate
Outdoor Kennel
Garage
Other (if "other" please explain in additional comments)
Do you have a secure fenced yard? *
Briefly describe your household/work schedule: *
Please list three personal references' contact information (phone number) and relationship to you *
Are you a student? Yes
No
Do you run a daycare out of your home? * Yes
No
Do you want to receive our newsletter? Yes
No
Would you like to be added to our email list for upcoming events (your information will not be sold or given to any other parties)? * Yes
No
Additional Comments

* Fields marked with an asterisk are required fields

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NOTE: Please fill out an online application only if you are interested in a animal that is currently listed in our available pets section.  Be sure to fill in all information as applications with complete information will be processed first. 

VPC is run completely by volunteers, many of which work full time during the day. It is sometimes difficult to process applications the same day they are received.  We often receive numerous applications for one animal we have available for adoption.  If you do not hear from us within a few days it is because another applicant was approved for the animal(s) you are interested in or your application has not been approved.

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