STARS
S
ave
T
he
A
nimals
R
escue
S
ociety of Georgia, Inc.
ALL QUESTIONS HAVE TO BE ANSWERED TO RECEIVE A RESPONSE
STARS - Save The Animals Rescue Society of Georgia, Inc.
Email: starsgeorgia@yahoo.com - Web: www.Starsga,petfinder.com
Phone: 912 536 6893 Fax: 678 302 9695
ADOPTION APPLICATION 1 of 2
Date of final adoption:
Pick up date:
Name of Animal:
Foster parent:
Spay/Neuter Date:
Foster parent
phone nr:
Comments:
Adoption Fee:
Cash:
Credit Card:
PayPal:
APPLICANT INFORMATION
First Name:
Last Name:
Address:
City:
State:
Zip:
Home phone:
Work phone:
Cell phone:
YES
NO
Profession:
Your age:
Student:
Email: (print)
Please indicate which animal you wish to adopt
Dog
Puppy
Cat
Kitten
Animals Name:
Breed/mix:
Coloring:
Reason why would you like to adopt a dog/cat:
YES
NO
Do you have currently any other animals living in your household?
If
YES
please list the animals living with you
(
INCL SEX, BREED AND AGE)
:
What food do you feed BRAND ?
Are you current pets spayed and neutered
Yes
No
If NO explain why not!
We reserve the right NOT to adopt our animals to a household with any "intact" pets.
Does your pet get along with other animals?
Yes
No
Have you owned animals in the past 10 years?
Yes
No
What happened to them?
Your Veterinarian :
Phone :
Address:
Do you have children?
Number:
Ages:
Have they lived with a dog/cat before?
Yes
No
Any of your children afraid of animals?
Yes
No
Anybody in your family allergic to animals?
Yes
No
Do you rent or own?
Rent
Own
If you RENT we need to have written permission from your landlord (or lease) stating that you
are allowed to have Pets.
Your Landlord's name and phone #:
How many hours will the pet be left alone during the day ?
How will your pet spend it days? Please indicate all those which apply:
(hold down CTRL button to make multiple selections)
Indoor
Outdoor
Crated
Garage
Porch
Fenced Yard
Barn
locken in room
Kennel
IF Kennel size of kennel
How will your pet spend it nights? Please indicate all those which apply:
(hold down CTRL button to make multiple selections)
Indoor
Outdoor
Crated
Garage
Porch
Fenced Yard
Barn
locken in room
Kennel
IF Kennel, size of kennel
Where do you live?
(hold down CTRL
button to make multiple selections)
Neighborhood
Subdivision
Apartment
Country
Duplex
With Parents
With Roommates
How many acres?
Do you have acres?
Yes
No
How many acres are fenced
?
What type of fencing?
fence height
How
big?
Do you have a fenced in yard?
Yes
No
How b
ig is fenced in area
?
What type of fencing?
fence height
How will you exercise your dog?
Are you aware that you have to keep your dog on
monthly heartworm prevention?
Yes
No
Are you aware that you have to keep your dog on
monthly f
lea
prevention?
Yes
No
Please take into consideration that medical expenses, in case of illness or emergency, and monthly
prevention will be in direct proportion to the size of the dog!!!
Will you be able to cover extreme medical VET expenses
in case of medical emergency or illness ?
Yes
No
Not sure
What will happen to your animal when you go on vacation?
What will happen with your animal when you move?
PLEASE download Application form to complete and bring, once approved, to personal meeting!