Siberian Husky Rescue of NM

First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Cell Phone

Alt Email

Which dog are you interested in adopting?*
Choose an animal: Alina Austin Bacardi Balto Benson Brandy Chase Cosmos Dino Ellie Haven Holly Jack Jet Kai (must be adopted with Luna) Kazu Kilo (Kai) Koda Link Merida Merry Mica Misty (adult) Mowgli Nala Niko Ralph Ranger Riley Sadie Scout Skipper Timber Urgent Foster Wilson Winter Zeus Zia

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. *