S.T.A.A.R. Pre-adoption Form
* Required
Email address
*
Your email
Pet of Interest
*
Your answer
Why are you interested in this particular pet?
*
Your answer
What characteristics are you looking for in a pet?
*
Your answer
Your Name
*
Your answer
Your Address
*
Your answer
Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
County
*
Your answer
Occupation
*
Your answer
Employer
*
Your answer
Daytime Phone Number
*
Your answer
Evening Phone Number
*
Your answer
Number of People in Household
*
Choose
1
2
3
4
More than 4
Relationship and Ages of Household Members
*
Your answer
Spouse's Employer
Your answer
Do you live in an apartment or house?
*
Apartment
House
Other:
Is anyone home during the day? (If so, when?)
*
Your answer
Number and type of pets in household
*
Your answer
List your previous pet's name and brief overview of their time with you.
*
Your answer
Do you have, or have you ever had a STAAR pet? (Please include the pets name)
*
Your answer
Will this pet be primarily inside or outside?
*
Inside
Outside
Is your yard fully fenced?
*
Yes
No
N/A
If your yard is fenced, how high is the fence?
Your answer
What will you do with the pet when you move?
*
Your answer
Vet Name
Your answer
Vet Phone
Your answer
Submit
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