Applicant
First
Name:
Last
Name:
Address:
City:
State:
Zip
Age
of Applicant
Home
Phone:
Work
Phone:
Email:
Employer:
Co-Applicant
First
Name:
Last
Name:
Address:
City:
State:
Zip
Age
of Applicant
Home
Phone:
Work
Phone:
Email:
Employer:
Applicant
List
people who live at your current residence: including their
names, relationship to you and ages of children.
Residence
Information
Home
Check
which best describes your residence:
Do
you have a homeowner's association that may have
restrictions on pet ownership?
If
you rent, please list the landlord's contact information.
Yard
Is
your yard or a portion of your yard securely fenced?
If
yes, list type, dimensions and height.
Is
the fence solid and secure?
What
type of gates?
Do
you have plans to modify your fencing before adoption?
If
so, describe the changes you plan to make.
Do
you agree to a home check by a rescue representative at an
agreed upon time and day?
Note:
all family members and other pets must be present for the
home check.
Pet
Ownership
Family
Pets
List
all pets currently residing at your residence: including
breed, age & sex.
Are
all of your pets neutered?
If
not, explain your reasons.
Canine
Experience
How
many dogs have you owned in the last 10 years. List breeds
and what happened to the dog(s) you no longer have.
Veterinary
Information
Provide
the name, address and phone number of your veterinarian
who can confirm vaccination records on your current pets.
By so doing, you grant permission for us to contact
him/her for reference. If you no longer have a pet, please
provide the name of the last veterinarian who cared for
your pet(s).
Have
you ever attended basic obedience classes?
Why
have you decided to adopt a Siberian husky?
What
research have you done on Siberian huskies?
Have
you read "So...you want a Siberian Husky" by the
Siberian Husky Club of America?
Note:
this can be found on our website www.siberiansneedingowners.org
under breed information.
Who
will have primary responsibility for the care of your new
dog?
Where
will your Siberian stay when you are not home?
If
other, please describe.
Where
will your Siberian sleep at night?
Are
there any frequent visitors to your home, either human or
animal with which your dog must get along?
Please
describe any other information that you wish us to
consider when reviewing this application.
Which
available SNO dog are you interested in adopting?