First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Work Phone x
Cell Phone
Alt Email
This application is the first step in helping to determine if your household is prepared to assume the role and responsibility of a rescued animal. Please answer each question thoroughly. Failure to do so will result in your application being stalled. There is no way for you to edit your application once you submit it, so you may be asked to resubmit an entire application in the case of questionable or incomplete answers. Please read the Adoption Process on our website at cvrrescue.org and understand that we require a vet reference for each applicant. You will be asked to submit information that your current and/or former pets are up to date on vaccines, heartworm protection, and standard veterinary care. It is imperative that the information you provide is accurate and verifiable. By clicking Yes below, you agree that pet ownership is a serious commitment that the entire household needs to consider and agree before an animal is adopted, and you acknowledge that you and each member of the household are aware of and willing to accept the physical and financial responsibilities of pet ownership.*
Which animal are you interested in? (Please note that cats are listed first with an asterisk, followed by dogs.)* Choose an animal: **Barn Cat** **Undecided - Cat** **Undecided - Dog Small Breed** **Undecided - Family Dog - Adult** **Undecided - Kitten** **Undecided On Specific Animal** *Banjo *Bella (must be adopted with *Narcissa and *Narcissa) *Bo *Cinco *Clove *Coriander *Cuatro *Dab *Edyn (must be adopted with *Junie and *Junie) *Ella *Gemma *Ivey *Jenna *Located in Lexington, VA *Jolene *Junie (must be adopted with *Edyn and *Edyn) *Kasey *Maxine *Monkey *Mr Kitty & Lil Momma *Mr Mannie *Mrs Potts *Naomi *Narcissa (must be adopted with *Bella and *Bella) *Ruthie *Tigger *Uno *Wenona *Whitney *Winter Ace Beaumont Bullet Clementine Debo Edith Ember Enzo GiGi Leigh Ann Luca Mabel Mallard Marlowe Mr Houndy Phoenix Stella Thaddeus Togo *courtesy post- Not a CVRR animal*
Why are you interested in this particular pet at this time?*
I acknowledge that after my application is approved to adopt from CVRR, it will be forwarded to the animal's foster, who will review all applications to choose the home that is the best fit for the animal. I understand that CVRR does not adopt animals on a first-come-first-served basis, but rather by selecting the best home for each animal as chosen by the foster, since the foster knows the animal best. If I am not chosen to adopt the animal I applied for, I can transfer my application to another animal. *
In case someone from the rescue needs to contact you, do you prefer to be contacted by text, phone call, or email?
When is the best time to contact you?
What is your date of birth? *
What is your place of employment and job title?*
Why are you considering adoption? (check all that apply)
Please describe the personality traits of the kind of animal you are looking for.
Describe your home's activity level:
What expectations do you have regarding housetraining for this pet? Choose one: I would prefer the dog to be fully housetrained. I am OK with the dog not being housetrained, or partially housetrained. We can work on housetraining.
Will the animal be kept inside or outside?* Choose one: Inside Only Outside Only Inside and Outside
If the dog is outside other than for supervised activity, what shelter will be available?
Describe how long the pet will be unattended on a daily basis and where it will be kept during this time.*
How many hours a day will the animal be alone with no potty break? Please explain in detail so we get an idea of the daily routine for the dog.*
When you are at home, how will the dog socialize with you and your family? (Provide details regarding where in your home you will spend time, if the dog is allowed in all rooms, will it be crated while you are home, will it be outside, etc.)*
Where will the animal sleep at night?*
How will your animal be cared for during overnight absences or while on vacation?*
Is your yard fenced?* Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced
If you have a fence, what type is it? Choose one: Privacy Chain Link Invisible
If you have a fence, how tall is it?
How much time/inclination do you have available to exercise your pet? There is no wrong answer, so please be honest so we can be ensure you are matched well with your future pet. Choose the option that most applies to your lifestyle.* Choose one: Allowing free run in a fenced area and the occasional stroll 30 minute walk 3-5 times a week alongside potty breaks Brisk daily walk 30-45 minutes for exercise Running Daily
Please list each person or family member in your household, stating for each their name, age, relationship to you, and whether they will be a primary caregiver for the pet.*
Does anyone in your family have dog allergies?* Choose one: Yes No Unsure
Does anyone in your household have a fear of dogs?* Choose one: Yes No Unsure
Are you the owner of the home you live in? Please indicate whether you own or rent your home. Please note that we check public records for confirmation of ownership. If you, the applicant, are not the sole owner of your home, please provide below the name, address, and phone number of the owner/landlord so that we can verify that a pet is accepted. Failure to provide this information will automatically stall your application.* Choose one: Rent Own
If renting, do you have your landlord's permission to have pets? State the number, size, or breed restrictions. Be prepared to provide a copy of the lease agreement or a written statement from the landlord.
If you are renting please provide your landlord's name AND contact information (phone number or email address).
In what type of home do you live?* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Household setting:* Choose one: rural/farm suburban urban/city
Please provide the name and phone number for the veterinarian(s) who have provided care for any current and previous pets. (Please note that failing to provide both name and contact info may result in your application stalling.)*
Please list all current and previously owned pets (small, large, exotic), following this format: Name - Breed - Age - Spayed/Neutered - Vaccinated? - Heartworm preventative? - Years in your care? - Where are they now?
Do you have any outdoor animals, such as chickens, goats. horses, etc.?
Have you ever had to give up a pet? If so, why and where did it go? (This is NOT an automatic decline, please be honest.)
Have you ever lost a pet to illness or injury? If yes, please explain.
What is your philosophy regarding the spay/neuter of pets? *
How do you plan to discipline your pet or what method of training do you prefer? Opinions on crate training?
How long do you think it will take this pet to acclimate to a new home environment? For example: 3 days, a week, a month?*
About how much do you think your dog will cost monthly? Please consider flea & heartworm prevention, grooming, dog food, and veterinary care.
Please note that the following traits are NORMAL and MAY be exhibited by the dog as he/she adjusts to your home. Accidents Chewing Excessive Barking/Whining Pacing Clingy Behavior Shyness Please check below that you understand these are possible behaviors that may be observed. In addition, you agree that the first two weeks in your home will be a time of minimal activity, outings with the dog, and excessive house guests--allowing the dog to settle in without added challenges, stress, and distractions.
What circumstances would cause you to return a pet? Please try to think long term; for example, new baby, family illness, moving, pet prefers one person over another, pet doesn’t like a new pet you bring into the home, divorce, cost of pet care or unforeseen surgery, etc.
Would you be willing to take your pet to an obedience class for 6-8 weeks? If No, Why?
If you adopt an animal that is not spayed/neutered at the time of adoption, we will either make the appointment for you at one of our partner veterinarians or we will agree to have it done at a location that is convenient for you (if you are not local). The adopting family will be responsible for transport and pick up of the dog to the agreed-upon facility. CVRR will cover the cost of the spay or neuter. The adoption contract is not complete until this service is complete and the records are sent to us. By clicking "yes," you agree that this application is complete and truthful and that you understand that the spay/neuter of the pet is required.
How did you find out about Central Virginia Regional Rescue?*
Before submitting, review the answers you have provided and make sure the questions have been answered completely. Common oversights include failure to name current and/or former pets, contact information for the veterinarian, and/or incorrect landlord contact information. Incomplete applications will stall in our process while complete and approved applications move forward. *