Adoption Application

NOTICE TO ALL APPLICANTS: Please be advised that Starfish Animal Haven Inc is a New Jersey based rescue/adoption organization. It is our policy to adopt dogs to homes in New Jersey, parts of New York and parts of Pennsylvania only. it is also our policy to have Starfish Animal Haven Inc representatives make home visits for every adoption. If you live beyond our geographical boundaries we hope you will contact rescue organizations closer to your home.

This information is requested so that we can assist you in the selection of your new dog. This information will be kept strictly confidential. ​

Since the animals on our website depend on us to be their advocates, their welfare is given our careful consideration when selecting a home that will be the best for their needs. The consultation process is designed to help us assist you in finding the animal most compatible with your lifestyle. ​

Please fill in all information as it applies to you. Once complete, please submit the form. We will review the information and contact you as soon as possible. Please note that only an adoption application that is completely filled in will be considered by our application reviewers. ​

Thank you for considering adopting a dog from Starfish Animal Haven!


What pet(s) are you interested in?


Contact Information:

Additional Information:

Do you currently have any pets?

What type of pet(s) do you have? (Please list all pets.)

What age are all of your pets? (Please list all pets.)

What breed are your pets? (Please list all pets.)

Are any of your pets altered? (Please list all pets if applicable.)

When did you last bring your pets to the vet? (Please list all pets.)

Who was your veterinarian? (Please list all pets.)

What is their phone number? (Please list all pets.)

Whose name are your vet records under? (Please list all pets.)

Are all pets vaccinated?

Where do you keep your pets? (Please list all pets.)

Have you had any pets in the past?

What type of pet(s) did you have? (Please list all pets.)

How long did you have your last pet and what was the pets name? (Please list all pets.)

What happened to your last pet? (Please list all pets.)

Who was your veterinarian? (Please list all pets.)

What is their phone number? (Please list all pets.)

Whose name are your vet records under? (Please list all pets.)

Do all adults know that you plan to adopt?

If there are childeren in your household please list by age.

Are there any known allergies or medical conditions in your household?

Where will your new pet be kept during the day?

Is there anyone home all day?

If you selected no above, how many hours will the pet be left alone in a 24-hour period?

Where will your new pet be kept while alone and when you go on vacation?

Are you financially able to give your new pet routine and emergency medical care?

Would you object to a visit or call from a volunteer to see how you and your new pet are doing?

What do you want your new pet for?

Do you realize that you would probably have to house train your new pet?

Are you familiar with leash laws and licensing in your community?

How will your pet primarily be confined to your property?

Do you have a fenced in yard?

If you have a fenced in yard, what is the height and type

If you have a fence, is your yard completely or partially fenced in?

What will you do if your dog chews furniture or shows other destructive behavior?

Do you need an explanation of how to introduce your new dog to current pet(s)?

Are you familiar with feeding recommendations for a pet?

How many people live in your household?

Are pets allowed where you live?

You currently live in a...?

You currently...?

How long have you lived ar your current address?

What is your current occupation?

Please tell us anything else about yourself that you may want the adoption counselor to know and to take into consideration about your ability to adopt one of our pets?

Please make sure you understand the following terms.

- Starfish Animal Haven serves the right to refuse any adoption application.
- The information contained within this application is accurate and not misleading in any way.
- Starfish Animal Haven reserves the right to contact any individuals on this form.

By signing below, you certify that you fully understand the terms written above.