VCAS Adoption Application

Please complete the application in full.

Once your application and all supporting documents are submitted, we will be in contact within 48 hours. If approved for adoption, you are welcome to come meet all available animals or we will schedule a time for you to come in to meet the animal(s) that you are interested in.

If you currently have a dog(s), and are looking to add another dog to your family, we do require a meet and greet. Exceptions to this will be reviewed on a case by case basis.

If you are interested in adopting a dog and have any children under 12 years of age living in your household, we will require a meet and greet between the children and dog(s) you are interested in adopting.

We look forward to working with you to find the animal that will best fit into your lifestyle and family.

*Required

Agreement

In completing this application, I affirm that all information and statements in this application are complete and true and made for the purposes of my applying to adopt one or more animals through VCAS.
I am 18 years of age or older.
I understand that all residents of the household must agree to adoption and all household members, children included, must meet with the animal prior to adoption approval.
I understand that all dogs residing at the home must come to the shelter for a meet and greet with the animal prior to adoption approval, unless otherwise discussed, in advance with the Director or Kennel Supervisor.
I understand that a Shelter representative may visit my home for a home inspection before my application is approved.
I agree and understand that if the animal I apply for is not spayed or neutered, it will remain property of VCAS until completed.
I agree to provide basic medical vet care for adopted animal.
I agree to provide rabies vaccinations according to my local county ordinance.
I agree to maintain heartworm and/or flea and tick prevention during every month of the year.
I understand that if approved for adoption, I will be required to carefully read the "Adoption Agreement" in full, and acknowledge that the Adoption Agreement represents a legal and binding contract between an adopter and the Vermilion County Animal Shelter.
I understand that if I am approved to adopt an animal, the Adoption Agreement must be reviewed before I can take my animal home. I further understand that I will be asked to agree to the terms of the Agreement and sign the Agreement before I can take my adopted animal home.
If there is more than one application submitted for a specific animal, the adopter that best meets the needs of the animal will be approved.
VCAS reserves the right to refuse any adoptions we consider unsatisfactory.

Do you agree to the above adoption agreement?

Yes, I agree

No, I disagree

First Name

Last Name

Current Phone Number

Current Address

Address Line 1

City

Zip Code

In the past 5 years, have you resided at any other address other than your current address?

Yes

Please list any prior addresses you have lived at in the last 5 years. Enter street address, city, state, zip and county.

Date of Birth (mm/dd/yyyy)

Driver's License or State ID number

State that issued ID

Please upload a picture of your photo ID.

Choose File

I'm interested in adopting (check all that apply)

Puppy (under 6 months)

Young Dog (6-12 months)

Adult Dog (1-7 years)

Senior Dog (over 8 years)

Kitten (under 6 months)

Young Cat (6-12 months)

Adult Cat (1-7 years)

Senior Cat (over 8 years)

Bonded pair of cats or kittens

Which size dog are you interested in adopting? (check all that apply)

Small (up to 25 lbs)

Medium (26-50 lbs)

Large (51-80 lbs)

Extra Large (over 80 lbs)

Is there a specific dog or cat you are interested in? Please list the animal's name.

Is this your first pet?

Yes

Other

You selected "other" on the question "Is this your first pet?" Please explain.

Residential Information

Are there any other adults (18 and over) living in your household?

Yes

Please list first and last names, as well as birth dates for all adults (18 and over) living in your household.

Are there any children (under 18) living in your household?

Yes

Select age group of children in the home

0-6

7-12

13-18

Companion Animals in Your Home

Do you currently have any companion animals in your home

Yes

Please provide the name of the veterinarian, phone number, street address, city, state, and zip code that you currently use or plan to use after adoption.

Companion Animal Information

Animal 1

Animal 1 - Type

Dog

Cat

Other

Animal 1 - Please specify what type of animal this is.

Animal 1 - Name

Animal 1 - Age

Animal 1 - Breed

Animal 1 - Male or Female

Male

Female

Animal 1 - Has the animal been spayed or neutered?

Yes

Animal 1 - Is the pet up-to-date on vaccinations and registered in the county in which you reside?

Yes

Other

Animal 1 - Please explain your pet's vaccination and registration status

Animal 1 - Please upload proof of your animal's current vaccinations

Choose File

Animal 1 - Please upload a copy of your animal's current rabies certification

Choose File

Add 2nd Animal

Animal 2

Animal 2 - Type

Dog

Cat

Other

Animal 2 - Please specify what type of animal this is.

Animal 2 - Name

Animal 2 - Age

Animal 2 - Breed

Animal 2 - Male or Female

Male

Female

Animal 2 - Has the animal been spayed or neutered?

Yes

Animal 2 - Is the pet up-to-date on vaccinations and registered in the county in which you reside?

Yes

Other

Animal 2 - Please explain your pet's vaccination and registration status

Animal 2 - Please upload proof of your animal's current vaccinations

Choose File

Animal 2 - Please upload a copy of your animal's current rabies certification

Choose File

Add 3rd Animal

Animal 3

Animal 3 - Type

Dog

Cat

Other

Animal 3 - Please specify what type of animal this is.

Animal 3 - Name

Animal 3 - Age

Animal 3 - Breed

Animal 3 - Male or Female

Male

Female

Animal 3 - Has the animal been spayed or neutered?

Yes

Animal 3 - Is the pet up-to-date on vaccinations and registered in the county in which you reside?

Yes

Other

Animal 3 - Please explain your pet's vaccination and registration status

Animal 3 - Please upload proof of your animal's current vaccinations

Choose File

Animal 3 - Please upload a copy of your animal's current rabies certification

Choose File

Add 4th Animal

Animal 4

Animal 4 - Type

Dog

Cat

Other

Animal 4 - Please specify what type of animal this is.

Animal 4 - Name

Animal 4 - Age

Animal 4 - Breed

Animal 4 - Male or Female

Male

Female

Animal 4 - Has the animal been spayed or neutered?

Yes

Animal 4 - Is the pet up-to-date on vaccinations and registered in the county in which you reside?

Yes

Other

Animal 4 - Please explain your pet's vaccination and registration status

Animal 4 - Please upload proof of your animal's current vaccinations

Choose File

Animal 4 - Please upload a copy of your animal's current rabies certification

Choose File

Additional Information

How long will your adopted pet be kept outside?

How do you plan to keep your animal on your property? Please check all that apply.

In the house only

Garage

Outdoor Kennel/Run

Patio

Fenced Yard

Chained or Tethered

Agreement and Document Upload.

I hereby release to the Vermilion County Animal Shelter all veterinary records of any and all animals I own and have owned. I certify that the above information is true and correct to the best of my knowledge. I also acknowledge falsifying any of the above application will result in my being denied adoption of an animal or if any animal has been adopted to me, the return of the animal to the Vermilion County Animal Shelter. I have completed and reviewed this Application in its entirety, and I agree that all statements contained herein are made by me, and are truthful and binding. I make this statement under penalty of perjury under the laws of the state(s) of Illinois.