How to Adopt – Southern Star Animal Rescue

Applicant Info

Your Name*

Your Spouse's Name (If Applicable)

Name of Dog You're Interested in Adopting*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Best Time to Call

Email*

Ages of Children in Your Home

Does anyone reside in your home besides spouse and children?*

Home Info

Do you rent or own?*

If renting, do you have permission from landlord to own pets?*

Yes
No

Is your home a...*

What would you do with your pets if you moved and could not keep them?*

Do you have a fence around your yard?*

Yes
No

If you answered "yes," to above, how tall is the fence?*

Pet Relationship and Lifestyle

How many hours a day will your pet be left alone?*

Where will your pet sleep at night?*

How will your pet be exercised?*

How would you describe your current lifestyle?*

Very Active
Average Active
Not Active

What pets do you currently have (species, breed, age)?*

Are your pets current on vaccinations?*

Yes
No

Are your pets spayed/neutered?*

Yes
No

Please Read and Acknowledge Below*

By checking this box, you are certifying that information on your application is true and that you understand that applying for a specific animal does not guarantee that it will be placed with you. You also agree to receive communications from Southern Star Animal Rescue. You can opt out at any time.

I agree to these Terms & Conditions

Adoption Application

Applicant Info

Home Info

Pet Relationship and Lifestyle