Estimated Cost of Treatment
If applying for our emergency boarding/foster care grant, please provide us with an estimate of how long your pet will be in our program (up to 60 days)
I understand that STARelief and Pet Assistance, Inc. assumes no liability and makes no assurances as to the appropriateness, quality or outcome of any medical diagnoses, treatments, products or services and hereby waive any and all claims for liability against STARelief and Pet Assistance, Inc. I understand any documentation or pictures given to STARelief and Pet Assistance, Inc. cannot be returned.
I certify that the information given by me in this application is true and complete. I further understand that any falsified information that I provide will terminate the reviewing process immediately. I hereby authorize release/disclosure of records and/or other information concerning the above inquiries, including but not limited to employment information, tenancy information, and veterinarian records. STARelief and Pet Assistance, Inc. reserves the right to refuse any application it considers unsatisfactory.
We also require that you allow us to include any, all or part of your story and picture of your pet in our newsletter, website, Facebook, etc. (The story will not include your real name)
By signing below I understand and agree to STARelief and Pet Assistance’s boarding/foster care terms and conditions.
By signing this application, you agree, under the penalty of perjury, to the above contract, and confirm that all information provided is the truth to the best of your knowledge.