Vafa Animal Shelter - Application for Adoption
If you are interested in adopting, please complete and submit the
application on this page to get the process started. You will be contacted
by email or phone. Please keep in mind  that some dogs receive several
applications for adoption. For this reason, we cannot  respond to all
applicants immediately. If you do not receive a response within 72 hours,
please email us back. You are always welcome to apply again for another
puppy if you have applied in the past.
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Name of the Dog that you are interested in: *
Full Name: *
Address: *
City: *
State: *
Zip: *
Country: *
Email Address: *
Day Phone: *
Evening Phone: *
Occupation: *
Personal References: *
Must include address and phone number.
Household Members: *
Must include names and ages, including yourself.
Do you Own your home, or Rent? *
Previous Address: *
Have a fenced yard? *
Have a dog run? *
What other types of pets do you have? *
please specify if they are trained by you or trainer
What types of previous pets have you had? *
Why do you want a dog / puppy? *
Where will the dog/puppy stay when alone? *
Number of hours Dog/Puppy will spend alone per day? *
(without human companionship)
Where will the dog/puppy sleep? *
How do you plan to potty train the dog/puppy? *
How do you plan to exercise your dog? *
Name of your Veterinarian:
Vet’s phone number:
If you were no longer able to care for this pet, what would you do? *
Would you allow a home inspection prior to adoption? *
Do all members of your household want to adopt a dog? *
Do you agree to keep license and ID tags on dog at all times? *
Do you agree to provide adequate and timely health care for the dog? *
Do you agree to follow all federal, state & local laws regarding your dog? *
Comments
I certify the above to be true and complete to the best of my knowledge:
Initials: *
Date: *
Please use format: MM/DD/YYYY
Submit
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