Adoption Application

Animal you are interested in adopting

Applicant's First Name *

Applicant's Last Name *

Email Address *

Phone Number *

Street Address *

Apartment Number (if applicable)

City *

State *

Zip Code *

Are you or your partner honorably discharged veterans of the U.S. Military?

Can you confirm that you are over the age of 18? *

What type of home do you live in *

Do you own or rent your home? *

If own, is your home a part of a Condo Association or HOA? *

If renting, please provide landlord's name

If renting, please provide landlord's telephone

Is your yard fenced? *

If yes, what type of fence?

Please list the names, breeds and ages of any companion animals (dogs or cats) currently in the home. This includes pets owned by you as well as other members of the household. *

Please list the names, breeds and ages of any additional companion animals (dogs or cats) you've owned in the past 5 years. *

Veterinarian's Name (for the office that has provided the regular wellness care for your current and/or past pets)

Veterinarian's Phone Number

If the account at this Vet is not in your name, who is the account holder?

Please provide the name and phone number of any other veterinarians who your pets have seen

Please provide the names of 3 non-related personal references along with their contact info and relationship to you *

Who in the home will be responsible for the dog? *

What size of dog are you looking for?

What age are you looking for?

What energy level?

What sex dog are you looking for?

Please rank the following in order of importance to your family: Age, Size, Energy Level, Breed, Temperament, Gender *

Please explain briefly why you are interested in this type of dog *

How serious are you about adopting a rescue dog? *

Just Browsing
Interested by Need Time
Seriously Considering
Ready to Adopt Now

In what timeframe would you be able to welcome a new companion home? *

Including yourself, how many people live in your household? *

Please list the ages & relationship of those who live in your home (including yourself). *

Please describe your lifestyle and the the activity level of your home. *

How often will the dog be in contact with children? (Include family members, visitors, neighbors - provide details) *

Does anyone in your household have allergies to dogs or cats? *

Do you have a plan to address any potential allergic reaction? If so, what is it?

Where will the dog be kept when household members are home? (be specific) *

Where will the dog be kept when household members are not home? (be specific) *

On average, how many hours per day will your pet be left alone? *

Describe type and frequency of how you plan to exercise your dog *

Do you anticipate having to crate train your dog? *

Do you anticipate having to house train your dog? *

Do you expect to take the dog to formal obedience training? *

Describe your experience with basic obedience training, including house, leash, and crate training? *

How long do you feel it will take for the dog to adapt to its new home? *

What do you estimate the monthly cost to care for a dog? (food, grooming, vet care, toys, day care/boarding, etc?) *

Have you ever sold, given up, rehomed a dog or euthanized a dog for behavior issues? *

If yes, please provide more detail.

What circumstances would be cause for you to surrender your dog? Or are there any behaviors you consider to be a dealbreaker? *

How did you hear about Dog Star Rescue?

Last chance - tell us anything! Is there anything we forgot to ask? Is there something else you want to mention? Let us know!

General Disclosures: 1. The Dog Star adoption fee covers all vetting costs, including pull fees charged by shelters, spay/neuter costs, vaccinations including bordetella, distemper/parvo, rabies, fecal and heartworm screening, heartworm and flea preventative, interstate health certificate and transportation fees. 2. After filling out the Application, please call your veterinarian to give Dog Star permission to contact your vet. 3. This Application shall be governed by, and construed in accordance with, the laws of the State of Connecticut, irrespective of the laws that might otherwise govern under applicable principles of conflicts of law.

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I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application may result in my application being denied.

Applicant's Signature (Submission by email will serve as signature agreement)