Adoption application

Please copy and paste the application into e mail and send to:



Star Bright Animal Rescue Adoption Application
Application date:



Street address:City, State, Zip:

Home phone:

Cell phone:

Work phone:

E mail address:
How long at present address:Own or rent:

If rent please provide name address and phone no of landlord:
Please list all adults living in the home and their ages including yourself:
Please list the children living in the home and their ages:
Fence-how high and what is it made of ( chain link,stockade,invisible): 

If you do not have a fence how do you plan to contain the dog in your yard? (Tie out,runner,remote collar,always on leash)

Do you have other dogs:
Please provide Name/Age/Sex/Altered/Dominant for each dog:
Do you have cats:Other Animals:Details of other animals:
Have you owned a dog before:



What happened to that dog:

What brand of heart worm preventative did you provide for that dog:
VETERINARY INFORMATION(If you do not have a vet please provide name and contact information of the vet you are planning to use with your new dog)
Name of vet:Business name:Address:Phone number:

Please list 3 personal references:

1) Name:Relationship:Phone number:

2) Name:Relationship:Phone number:

3) Name:Relationship:Phone number: 

WHY do you want to adopt?

If something were to happen to you, who would look after / take responsibility of your dog?

How would you discipline your dog?

What is your work schedule?

How long will your dog be alone?

Do you have any provisions in place should the dog be left for a long period of time in the home? Please explain.

When alone where will the dog be kept? ie; free in home, basement, garage, crate, outdoor kennel, tethered?

Where will the dog be during the day?

Where will the dog be at night?

Exercise plan, please explain:

When out of town:

Do you have any experience with crate training?

Have you ever taken a dog to obedience training?

Would you be willing to do this?

Are you willing to have a Star Bright volunteer visit your home by appointment?

Ideal dog (color,age,activity,gender,mix?)

Please give us any additional information, and which dog you are specifically interested in:


I have read the adoption policies and will agree to abide by these terms if selected to adopt a dog from Star Bright Animal Rescue inc. I also agree to allow Star Bright to contact my vet or any of the people listed as references on this application to discuss the information listed herein. I have answered the above questions truthfully and to the best of my ability. I also understand that Star Bright Animal Rescue inc, may deny my application on any grounds. I understand that if e mailing my application my e mail is my signature. Further, my signature below indicates that I am at least 21 years of age and intend to be the legal owner and the person responsible for the care and well being of any dog I adopt.