Adoption Application

Please fill out the application on your computer. This form is not mobile compatible.

Name*

First Last

Email*

Address

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

Home Phone

Cell Phone

Work Phone

Please list the name(s) of all the dog(s) you are interested in adopting.

How many family members live at your residence? List all their names and ages.*

Have you ever owned a dog before?*

Yes
No

What happened to your previously owned dog(s)?*

Why do you want to own a Siberian Husky?*

Will your adopted husky be around children? If so, what are their ages?*

What traits are you looking for in a Siberian?*

Family companion
Playmate for other animals
Guard or watch dog
Playmate for children
Jogging partner

Do you currently own any pets?*

Yes
No

Please list all the pets you currently own (Species, Breed, Sex, Age, Spayed/Neutered)*

Do you have a secure fenced yard?*

Yes
No

Will someone be home during the day?*

Yes
No

What will you do with your adopted dog when you are not home?*

Veterinarian Information (Name of Clinic or Veterinarian, Address, and Phone Number)*

Please include at least 2 years of veterinarian history.

I understand by submitting this application for adoption, I am also giving Siberian Husky Rescue of New Mexico, Inc. the permission to contact any and all persons mentioned in the application, for screening purposes only. I understand that Siberian Husky Rescue of New Mexico, Inc. concerns rests solely with the welfare of the animals. Siberian Husky Rescue of New Mexico, Inc.’s goal is to place each individual animal with the BEST PERMANENT home. I hereby grant permission to use any and all information obtained in screening for the welfare of the animals. All information completed within this form is true and accurate to the best of my ability.

Siberian Husky Rescue of NM: Saving Siberians, one life at a time.

Adoption Application

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