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: Alina Austin Bacardi Balto Bandit Benson Brandy Charlie Cosmos Ellie Freya Gina Holly Jaxson Jet Kai (must be adopted with Luna) Koda Link Lokee Luna (must be adopted with Kai) Mawmba Minnie Miracle Misty (adult) Mowgli Nala Nova Ralph Ranger Riley Sadie Shadow Skipper Timber Tornado Urgent Foster Zeus Zia Zorrow

Are there any other dogs you are interested in? Please list their name(s) below.

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

Have you ever owned a husky (or other dog) before?

Why do you want to own a Siberian Husky?*

Will the adopted dog be around children? If so, what ages?

What traits are you looking for in a Siberian?

What pets do you currently have in your home?

How tall is the fencing around your yard(s)?

What kind of fencing do you have around your yard(s)?

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