Adoption Application Adoption Application Please answer below Questions to proceed to fill the Adoption Form Do you have a Child under the age of 6 at home? YesNo Do you have a Child under the age of 6 visiting Frequently? YesNo Do you have Fence? YesNo Fence Type: —Please choose an option—VisibleInvisible PLEASE NOTE: At this time, STAR has no foster homes with children. Therefore, we are unable to assist in placing our dogs with families with young children under the age of 6. We sincerely wish our foster circumstances were different, but at this time, they are not. PLEASE NOTE: It is STAR policy that, homes must have complete, visible fencing to be considered for adoption. Therefore, we are unable to assist in placing our dogs in homes with an invisible or no fencing. PLEASE NOTE: It is STAR policy that, homes must have complete, visible fencing to be considered for adoption. Therefore, we are unable to assist in placing our dogs in homes with an invisible or no fencing. PLEASE NOTE: At this time, STAR has no foster homes for homes with Children less than age of 6 or homes with an invisible or no fencing. We sincerely wish our foster circumstances were different, but at this time, they are not. Personal Information Full Name: * Email Address: * Home Phone: * Phone: *WorkCell Number: * Best Time To Call: * Your Occupation: * Street Address: * City: * State: * Zip: * Personal Reference (NOT a family member please) Full Name: * Email Address: * Phone Number: * Relationship: * Home Condition Do you live in a house or an apartment? HouseApartment If other, please describe: How long have you lived at this address? Do you have a second residence? YesNo If you have a second residence, please describe: Yard Environment Fence Height: Plans for dog exercise and toilet duties: Is your yard completely enclosed by a fence? Kennel Information Do you have an outdoor kennel run? YesNo Do you have a crate? YesNo What size is crate? How long will dog be crated? Household Information How many adults in the household? - + How many children in the household? - + What are the ages of children in the household? Do you have regular visitors? YesNo Please describe: If the visitors are children, what are their ages? Existing Pet(s) Information Do you own other dogs? YesNo Give breed and sex of each: Are your pets spayed/neutered? YesNo If no, why? Do you own cats? YesNo If so, how many cats? - + Do you own other animals? YesNo If so, please describe: Veterinarian Information Veterinarian Name: Veterinarian Phone: Veterinarian Address: Preferences and Living Conditions Have you ever owned an Aussie? YesNo Why do you want an Aussie? What are your plans for this Aussie? PetPerformance SportsGuardHuntingHerdingObedienceOther If other, please describe: Have you ever formally trained a dog in obedience or any performance sport? Are you willing to take your newly adopted Aussie to a basic training class? What gender do you prefer? Age preference: How active of a dog would you like? Living Conditions and Information Where will the dog spend the day? If other, please describe: On average, how long will the dog be alone? Where will the dog spend the night? If other, please describe: When will the dog be off leash? Specific Dogs and Acceptances Which STAR dog interests you? Why does this dog interest you? If that dog is not available would you consider a different STAR dog? Do you understand our spay/neutering policy? YesNo Do you agree to license the dog? YesNo Do you agree to provide health care? YesNo Will you call us if you cannot keep your STAR dog? YesNo Do you understand you must meet the dog in its foster home? YesNo May we forward your application to other groups? YesNo How did you learn about STAR? Would you like to provide additional notes? We often get several applications for the same dog. What can you share about your home and family (other than the information above) that you think would help us to know that the dog(s) you have selected would be a perfect match for your home? I have read the Letter to Adopter Please allow up to a week for our representative to contact you. We are all volunteers and while we do our best to be prompt, we do have families and other responsibilities as well. Thank you for completing this application!