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Thank You For Your Interest In Adopting A New Pet
Please Fill Out the Form Below and SUBMIT
Adoption Application
In order to be considered for adopting, you must be 21 years of age or older and have a current utility bill showing proof of your address and a driver's license or state ID for application verification purposes. In addition to these things, RVAR reserves the right to perform a home visit before and after the adoption takes place.
****Please remember any asterisked * field is required. Application will not submit unless all required fields are filled in.
*
Indicates required field
Name
*
First
Last
Animal You Wish To Adopt
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Home Number
*
Cell/Work Phone
*
What type of home do you live in?
*
House
Apartment
Other
Do you?
*
Own
Rent
Live with parents/roommate
Are you planning on relocating in the next 30 days
*
No
Yes
Where will the animal be living
*
Inside
Outside
Other
If other where will animal live?
*
If adopting dog do you have fenced yard?
*
Yes
No
If no fence how are you planning on exercising a dog?
*
How long have you lived at this address?
*
If less than a year what is your previous address?
*
If you rent, will you allow us to verify animals are allowed?
*
Yes
No
Landlord/Management Co. - Name and Phone
*
If you move in future what are your plans for your animal?
*
Dogs and cats can live more than 15 years. Are you prepared to care for the animal for its entire life?
*
Yes
No
Will you return the animal to RVAR if you can no longer care for it?
*
Yes
No
Number of Adults in your household
*
Children (please enter N/A if none)
*
Children's ages (please enter N/A if none)
*
Is everyone in household in agreement on adopting a pet?
*
Yes
No
If no, please explain?
*
Does anyone have pet related allergies? IF so please explain.
*
Have you previously applied to adopt from RVAR?
*
Yes
No
If yes, when did you apply?
*
Is this your first companion animal?
*
Yes
No
IF adopting dog will you give animal heartworm Prevention
*
Yes
No
How much do you estimate spending yearly to feed, groom, license and vet your animal?
*
If your animal becomes ill or injured, are you financially prepared to seek medical care?
*
Yes
No
IF needed will your pet attend obedience training classes?
*
Yes
No
If you are out of town how will your animal be cared for?
*
It may take a month or longer for your pet to adjust to a new home. Are you willing to allow time for adjustment?
*
Yes
No
List any current pets or pets you have owned in the past:
Type
*
Name
*
WHere Kept
*
Age
*
Altered (Y/N)
*
Gender
*
Still Owned (y/n)
*
If not owned, what happened?
*
Type
*
Name
*
Where Kept
*
Age
*
Altered (Y/N)
*
Gender
*
Still owned (y/n)
*
If not owned, what happened?
*
Type
*
Name
*
Where Kept
*
Age
*
Altered (y/n)
*
Gender
*
Still Owned (Y/N)
*
If not, what happened?
*
Type
*
Name
*
Where Kept
*
Age
*
Altered (Y/N)
*
Gender
*
Still Owned (Y/N)
*
If not, what happened?
*
Type
*
Name
*
Where Kept
*
Age
*
Altered (y/n)
*
Gender
*
Still Owned (Y/N)
*
If not, what happened?
*
Are your current animals Up To Date on vacinations?
*
Yes
No
Please provide your veterinarians information:
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Date of last visit
*
Will you continue to use this vet?
*
Yes
No
Please Provide Three References:
Reference #1
*
Phone Number
*
Reference #2
*
Phone Number
*
Reference #3
*
Phone Number
*
Terms of Application Agreement
I certify that the information provided on this application is true and correct to the best of my knowledge. I also acknowledge that falsification of any information on this application can result in my being denied adoption of an animal. I authorize investigations of all statements contained in this application and understand veterinarians, other humane agencies, landlords, etc. may be contacted. I further understand that the adoption of an animal may be delayed until information on this application can be verified.
Please Check
*
Yes, I certify my information
Name
*
First
Last
Date
*
Please review! All
*
fields are required to submit. You should receive a confirmation email if your application was submitted successfully.
Submit Application
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About
Adopt
Volunteer
Cat Oasis
Donate
RVAR Pet Resort
Ceasar's Palace Resale for Rescue
Contact
Events