Siberian Husky Adoption Application

Which dog are you interested in?*

About You

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What is your employment situation? Work full time, retired, etc.

About the Dog

Describe the type of dog you are looking for?*

Age Preference*

0-1yr
1-3yr
3-4yr
5yr+

Activity Level*

High
Medium
Low
No Preference

Characteristics*

Companion
Protective
Obediant
Performer
Service
Special Needs

Do you have any animals now? If so, what kind and how many (please include all - cats, turtles, chickens, birds, horses, livestock, etc)?*

Are your pet(s) spayed/neutered?*

Yes
No

Can you provide vaccines/spay/neuter certificate?*

Yes
No

Vet Name & Phone*

About Your Home

How many adults are in your home?*

How many children, and how old are they?*

Does anyone have an allergy to animals?*

Yes
No

If so what kind?*

How many hours will the animal be alone per day?*

Where will you keep the dog while you are not home?*

Where will your new dog spend its time?*

Indoor
Outdoor
Indoor/Outdoor

Do you have a doggie door?*

Yes
No

Do you rent or own your home?*

Rent
Own

Landlord Name & Phone

( If you rent, we will need a letter from your landlord stating you can have a dog.)

Is your yard fenced?*

Yes
No

Material and Height of Fence*

Do you have a pool?*

Yes
No

If yes, is it fenced?

Yes
No

Under what circumstances would you give up a pet and why?

Are you willing to take responsibility for this pet for the next 10–15 years?*

Yes
No

How much are you willing to spend on medical expenses per year before you would consider giving up or putting to sleep?*

Acknowledgement

I acknowledge that all the above information is true and correct to the best of my knowledge.
I understand that any misrepresentations of fact may result in removal of the adopted dog from my home by AZ Husky Rescue. Upon approval and placement, a signed copy of the above information will be required for verification.

Home Visits

I understand that a representative from AZ Husky Rescue will make an initial home check to verify the above information is accurate. A signed adoption contract must be filled out before dog officially becomes yours! Foster will get this form from you to verify adoption.

So you’re ready to adopt?

Adopters must have a 6ft+ fence. We prefer to adopt to those in houses, but make exceptions for apartments and condos on a case by case basis considering the dog and owner’s respective energy levels.

Fill out the form to the right, or email us the completed form.

Dog Adoption Interest Form

About You

About the Dog

About Your Home

Acknowledgement

Home Visits

About Us

Contact Info