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About Huskies
About
Contact

Dog Adoption Application

1Applicant

2Family

3Home

4Care

5Preferences

Hidden
Default: Adopter Status
First Name*
Last Name*
Age*
eMail Address*
Phone Number*
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Adults
Are There Other Adults In The Home?
- Yes
- No
What Are Their Names and Ages?*
Children
Are There Children In The Home?*
- Yes
- No
What Are Their Names and Ages?*
Dogs
Have You Ever Had a Dog?*
- Yes
- No
Have you ever taken care of a dog before (ie dog walker, dog sitter, etc) or have any other dog experience?*
Do You Currently Have a Dog?*
- Yes
- No
How Many?*
Please Tell Us About Your Dog(s)
Sociability*
Sleeping Quarters*
Altered? (Spayed/Neutered)*
- Yes
- No
Please Explain Why Not*
Up To Date on All Vaccines?*
- Yes
- No
Up To Date On Heartworm Prevention?*
- Yes
- No
Is There Any Additional Information You Would Like to Add?
Other Pets
Are There Other Pets In The Home?*
- Yes
- No
How Many?*
Other Pet 1
Animal Type*
Sleeping Quarters
Sociability
Is There Any Additional Information You Would Like to Add?
Other Pet 2
Animal Type*
Sleeping Quarters
Sociability
Is There Any Additional Information You Would Like to Add?
Other Pet 3
Animal Type*
Sleeping Quarters
Sociability
Is There Any Additional Information You Would Like to Add?
Other Pet 4
Animal Type*
Sleeping Quarters
Sociability
Is There Any Additional Information You Would Like to Add?

Residence
- Type of Residence*
- Do You Own or Rent?*
- Does Landlord Allow Dogs?*
  - Yes
  - No
- Are There Any Breed Or Size Restrictions?*
- Please Provide Landlord's Name*
- Please Provide Landlord's Phone Number*
Yard Information
Do You Have A Yard?*
- Yes
- No
Is The Yard Fenced?*
- Yes
- No
How High Is The Fence?*
What Material Is The Fence Made From?*

Family & History
- What Type Of Household Do You Have?*
- Do All Family Members Want A Dog?*
  - Yes
  - No
- Please Explain Who Doesn't and Why They Don't*
- Is Any Member Of Your Household Allergic To Dogs?*
  - Yes
  - No
Are You WIlling To Take Responsibility For This Dog For The Next 10-15 Years?*
- Yes
- No
What Provisions Will You Make For The Dog Should You Become Unable To Care For Him/Her?*
Will You Be Willing To Surrender the Dog Back to Our Rescue Should Your Household Become Unable to Care For the Dog?*
- Yes
- No
- Are You Capable of Providing Timely Healthcare?*
  - Yes
  - No
- What Are You Willing/Able To Spend On Annual Vet Care?*
- Please Explain Your Circumstances*
Sleep & Alone Time
- Where Will The Dog Sleep?*
- Where Will The Dog Be When Alone?*
- Please Describe Where The Dog Will Be*
- Do You Have A Doggie Door?*
  - Yes
  - No
- Is It Locked When You Are Away From Home?*
  - Yes
  - No
- If You Are Gone From Home During The Day, Does Someone Let Your Dogs Out?*
  - Yes
  - No
- What Is The Longest Time The Dog Will Be Alone (without humans)?*
- Who Will Care For The Dog While You Are On Vacation?*
Behavior & Training
Dogs Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Dog Comfortable In Your Home?*
- Yes
- No
What Behaviors Can You Tolerate (and work on)?
Needs Social Skills*
Accidents In The House*
Inappropriate Chewing*
Excessive Barking*
Digging*
Separation Anxiety*
- Other
  - Yes
  - No
- Please Explain Other Behaviors You Cannot Tolerate*
- What Are Your Plans For Training Your New Dog?*
- Please Describe Your Training Plans*
Veterinarian Information
Have You Used A Veterinarian Before?*
- Yes
- No
Please Provide Veterinarian's Name*
Please Provide Veterinarian's Phone Number*
Trainer Information
Have You Used A Trainer Before?
- Yes
- No

Who's Your Perfect Match?*
Note: This does not guarantee this dog will be placed with you
List Other Dogs You Are Interested In
Select Gender*
Select Age Range*
Select All That Apply
When Will You Be Ready To Adopt?*
Is There Anything Else You Would Like to Let Us Know?
I am interested in receiving pet related services and products*
- Yes
- No
Authorization
Authorization:*
All dogs placed through the Hoardin' Huskies Rescue will have health checks, and will be spayed or neutered unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that all information on my Adoption Application will be kept confidential, and that I will not be contacted unless an appropriate dog becomes available. I understand and agree *
- I agree
Comments
This field is for validation purposes and should be left unchanged.

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