ADOPTION APPLICATION -- Sharing Your Heart and Home

Please fill out the entire application to the best of your ability. This application is to determine if the proposed adoption is in the best interest of both the pet and your family. Answers to all the questions are required. Any questions unanswered will prevent the application from being processed. Once you submit your application, you will be returned to the adopt page to continue browsing our site.

 

 

Name

Address
City, State  Zip

Home Phone
Work Phone
Cell Phone
E-mail
Drivers License
Date of Birth
Veterinarian's Name
Veterinarian's Phone
Which dog would you like to adopt?
You want your new pet for:(check all that apply) House pet Hunter Companion Gift

Guard dog Companion for pet Fighting dog
Is this pet specifically for your household?
How many pets do you have in your home now?
Please list names, ages, and breeds of current pets:

What type of heartworm protection are they on?
Have you adopted a pet from STARS before?
Have you surrendered a pet to STARS before?
If yes, why?
Where will you keep your pet during the day?
Where will you keep your pet during the night?
Is your yard fenced?
Do you?
If you rent, does your landlord permit pets?
Do you work?
If yes, how many hours a week?
How many people are in your household
List names and ages of children:
Please Enter any comments



I agree that, if allowed to adopt, I will not hold STARS liable for any direct or consequential damage arising from the adoption. I agree that if I must give up this pet for any reason it will be returned to Stars. I agree to follow up on all vaccinations as recommended by my veterinarian. I agree to give this pet adequate time to adjust to its new home. I agree to work with a Behavior Counselor should the pet develop behavior problems. I agree to allow follow-up calls by Stars on the new pets progress. I understand that submitting this application represents permission for my veterinary to disclose the treatment history for my previous and current pets to the designated representative of the STARS organization.

I certify that all information I have given is true, and that false information may result in nullifying this adoption.

Thank you for completing our questionnaire. We will make every effort to match the needs of our adoptable animals with the right family.  If you have trouble submitting this application, please turn off all firewall software while submitting.