Adoption application

ADOPTION

Our location is Orangevale, CA, right outside of Sacramento. If you're located within a 50-mile radius of Sacramento, we warmly invite you to join our team. Please note that submitting this application does not indicate a commitment to adopt a dog, nor does it guarantee that you will receive a dog. It serves as a helpful tool for both you and us to identify a potential match that aligns well with your family and lifestyle.

The success of an adoption relies on finding the right dog for your household and having a clear understanding of the dog's needs and care requirements. To facilitate this process, we kindly request your assistance in answering the following questions thoroughly and comprehensively.

Potential Dog's Name

Co-Applicant

Yes

primary Adopter Info

First name

Phone

Co-Applicant First name

Co-Applicant Email

Co-Applicant Phone

Last name

Adress

Co-Applicant Last name

Co-Applicant Address

Service History

Armed Forces

Police

Fire

EMT

Service Status

Active

Veteran

Reserve

Ages and names of adults in residence.

Children in home

Yes

Ages of children.

Fenced Yard

Yes

Residence Type

Single Family Home

Condo/ Townhouse

Apartment

Trailer

50% COMPLETE

Current Pets

Dog

Cat

Other

None

Current Pet(s) Info

Altered (fixed)

Yes

Why pets are not altered.

Relocating soon?

Yes

When and where will you be relocating?

Describe your fenced area and fence

REFERENCES

Vetrinarian name for reference

Vet Email

Personal Reference

Vet Phone

Personal Referencee Phone

Vet Address

Are you in contact with any other rescues or shelters about a specific dog?

Yes, application pending.

Yes, just an email inquiry, no app yet.

No, but I am looking at several dogs online.

No, I am only interested in this particular dog

Are you going to meet another dog?

Yes

When?

Is anyone in your home allergic to dogs?

Yes

Does anyone in your home fear dogs?

Yes

Does anyone in your home smoke?

Yes

Are you familiar with dog regulations in your area?

Yes

Please continue application and contact your local ordinance or property manager for rules regarding dogs.

Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

Please describe any local laws or ordinances for dog

Annual Household Income

Do you work outside the home?

Yes

One applicant is home/ works from home.

We work different shifts.

Will your dog be crated?

Yes

Do you work outside the home?

Yes

Yes, adults have discussed, kids do not know yet.

If you both work outside the home, how many hours per day are you away?

Beyond work, please describe how many hours your dog will be left alone.

Based othe dog's bio, do you feel confident that you will be likely to adopt this dog upon meeting it?

Yes

Upon meeting the dog would there be any reasons that would change your mind?

What activity/energy level do you prefer?

Wild and crazy is cool.

Leash trained daily jogging partner would be excellent.

Medium energy, some walks around the block.

Low energy, walks slowly on leash, a total couch potato

How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)?

What would cause you to return a dog?

How long have you been looking for a dog?

How do you plan to integrate this dog into your family?

What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?

What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?

Do you plan to get pet health insurance?

Yes

I wasn't aware this was available. I will look into it

Do you plan to take formal obedience classes?

Yes

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?

PLEASE READ THESE DETAILS BEFORE SUBMITTING.

If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.

We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.

I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help Stars & Stripes Dog Rescue determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect. I agree to allow a representative from Stars & Stripes Dog Rescue to contact my vet for a reference and also agree to allowing a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption. I understand that all dogs adopted from Stars & Stripes Dog Rescue will be spayed/neutered, heartworm tested, fecal tested, and vaccinated prior to adoption.

Please read the above, check this box, sign, and click Submit.

I/We have read and understand all of the above.

Your Signature

Co-applicant Signature

Select a date

After you submit this form, we will review the submission and contact you as soon as we can. Feel free to email us with any questions: starsandstripesdogrescue@gmail.com Stars & Stripes Dog Rescue reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs. Susan Aimes, 916 847 9986.

We are Registered, 501(c)3 Non-Profit Organization Focused on Animal Rescue and the Reduction of our Pet Overpopulation.

Thanks for applying!We’ll get back to you soon.

Adoption application

ADOPTION

primary Adopter Info

REFERENCES

PLEASE READ THESE DETAILS BEFORE SUBMITTING.

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Registered Charity Number : 88-0888840