Name of the dog you are applying to adopt?
*
Have you every submitted an adoption application to STRSE?
*
Please note, as of Dec 1st 2024 we no longer preapprove applications.
Name
*
First Name
Last Name
Address
*
STRSE is located in South Carolina (US). We do not offer international adoptions and we do not ship dogs. Please see our FAQ section if you are not local to the South Carolina area.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
Preferred method of contact
*
Do you live in a
*
Do you rent or own?
*
If you rent, please provide name and phone number for landlord or property management company.
Please explain other
How long have you lived at this address?
*
Do you have a preference of a male or female Scottie?
*
What age preference do you have?
*
Would you consider adopting 2 Scotties that are a bonded pair, and cannot be separated?
*
What is the age range of the primary caregiver?
*
Are there any minor children living at home or will the dog come in contact with minor children?
*
If yes, please list ALL ages of minor(s)
Is your yard securely fenced?
*
Fences are not required to be approved for adoption unless noted for a specific dog.
If yes, describe your fence type, size, etc.
Is there a pool or any other body of water on your property?
*
Do you currently own ANY other pets?
*
If yes, please list all pets that you own. Please include type, breed, sex, age, spay/neutered.
Where will the dog stay during the day?
*
Where will the dog sleep at night?
*
Who cares for your pets when you're out of town?
*
Have you ever surrendered any pets to a rescue or other shelter (humane society, animal control, etc.)
*
If yes, please explain
List any pets that you have owned in the last 10 years but no longer do..
*
For example, Deceased- natural/humane euthanasia? Decease- accident? Rehomed?
If you are completing this application on behalf of someone else, please explain the circumstances.
Vet's Name (current or intended)
*
Vet's Address
*
Vet's Phone Number
*
Electronic Signature
*
I affirm that all information contained in the application is true and correct.
I have discussed this plan with other family members and we all understand the time, energy, and financial obligations involved with the decision to adopt a rescue, Scottie.
I also understand that I may be asked to make a donation and/or pay an adoption fee to help defray medical and other expenses associated with running the rescue program.
I agree you may contact my veterinary reference.
MY TYPED SIGNATURE BELOW INDICATES MY FULL UNDERSTANDING OF THE ABOVE STATEMENT AND THE ACCURACY OF ALL INFORMATION CONTAINED IN THIS APPLICATION.
Today's Date
*
MM
DD
YYYY
