Siberian Husky Rescue of NM

First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Work Phone
x

Cell Phone

Which dog are you interested in adopting?*
Choose an animal: Anabel Angel Anna April Baikal Balto Benson Bobble Captain Cyrus Dash (Bucky) Echo Elsa Emma Eros Heidi Izzy Jazmyne Kai Katya Koda Lilly Loki Luna Lupin Maia (must be adopted with Rico) Mia Nala Nanook Nola Nova Ralph Rico (must be adopted with Maia) Rosie Sadie Sakari Sasha Silvie Spirit Star Sunshine Urgent Foster Zeus Zia

Please list the name(s) of any additional 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 husky (or other dog) before?*
Choose one: Yes No

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?

Do you currently own any pets?*
Choose one: Yes No

Do you have a secure fenced yard? Please describe your fencing along with height of fence and any gates.*

Will your dog have indoor/outdoor access by a doggie door?*
Choose one: Yes No

Will someone be home during the day?*
Choose one: Yes No

How much time will your adopted husky spend in the home with you each day?*

How much time will your dog spend outside?*

Describe a typical day with your dogs.*

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.*
Choose one: I agree