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, but the form can be submitted by answering the questions in red. Someone will contact you as soon as possible. Any questions unanswered now must be answered at that time. Once you submit your application, you will be returned to the adopt page to continue browsing our site.

Name
Address
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:
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 of Amelia 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 of Amelia. I agree to follow up on all vaccinations as recommended by my veterinarian. I agree to give this pet 2 months 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 of Amelia on the new pets progress.

We do our very best to place only healthy animals for adoption, but animals with unknown backgrounds can become sick. If this occurs you have the option of returning the pet to us or having it treated at your own expense by your veterinarian. If you choose to return the animal, NO REFUND will be given.

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

You must agree to the above terms to submit an application.

I Agree

Thank you for completing our questionnaire. We will make every effort to match the needs of our adoptable animals with the right available foster family.