R.A.C.E. Adoption Form
If you are interested in adopting one of the dogs available from RACE, please complete this form.

If you do not fill in a required field (one with a *), the form will not submit and will highlight that question in red requiring you to go back through and make sure you've answered everything.

Please double check your responses. Any missing address information or veterinarian information will slow the process AND MAY CAUSE YOUR APPLICATION TO BE DECLINED. We simply do not have time to look up vet phone numbers. Please look it up before filling out the application.

We verify all addresses with landlords/property managers and/or tax records, so make sure there are no typos in your address information.

Applications with missing information will automatically go to the bottom of the pile. Please note, we get many applications and if you want yours reviewed quickly, make sure all information is complete and accurate.

APPLICATIONS ARE KEPT ON FILE FOR 60 DAYS

Email Address *
Your answer
Name of animal you wish to adopt from RACE? *
Your answer
Breed of animal (Best Guess) *
Your answer
Gender of animal *
If applying for a specific animal - Why this particular animal? What is it about this one that made you apply? (this helps us better understand what you're looking for) If not looking for a specific animal, what is it in a pet that you are most looking for? (type of behavior, looks, size, male/female and why) *
Your answer
Your First and Last Name *
Your answer
Today's Date *
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Your Adress *
Your answer
City, State and ZIP *
Your answer
Phone Number (Cell)
Your answer
Phone Number (Home) *
Your answer
Phone Number (Work)
Your answer
Secondary E-Mail
Your answer
Occupation *
Your answer
ID or Driver's License Number and State issued in (example: NC-12345678) *
Your answer
Current Employer *
Your answer
Your Living Situation (pick one) *
If renting, provide name of landlord or leasing agency AND valid phone number including area code. (if you own, simply state "own") *
Your answer
Children in the home *
Required
Has anyone in the household been convicted of animal cruelty? *
Do you have a fenced in yard? *
Where will the dog be kept when you are not at home? (Be as specific as possible.) *
Your answer
What pets do you currently have in your household? Please give name, type of pet, age and any medical issues. If none, please put "none". *
Your answer
If you own other pets, are they up to date on all their vaccinations? *
Required
Have you owned a pet in the past 5 years? *
If "Yes" to last question, please describe your pets. If "No" to last question, please put "N/A". *
Your answer
Name of most recent veterinarian: (Please contact them and let them know you are looking to adopt and it's OK to give RACE info. Otherwise, your application may be denied.) *
Your answer
Phone number of most recent veterinarian: *
Your answer
If you have recent veterinarian records, will you be able to email them to us at racerescue@yahoo.com? If yes, we'll make a point to look for them. *
Please provide the name AND PHONE NUMBER of a reference that is NOT related to you. *
Your answer
If you own or have owned other pets in the past, were/are they spayed or neutered?
Please check that YOU HAVE READ AND AGREE to ALL of the statements below. Any unmarked statements will void this applicaton. *
Required
By typing my full legal name, I agree to everything in this application and attest that everything is correct. *
Your answer
Date *
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