Adoption Application

Your Name(required)

Address -(required)

City, State and Zip

Phone Number and Cell Phone Number, please list best time to call.(required)

Email address(required)

Occupation

Personal Reference Name and Phone Number(required)

Do You Own or Rent your home, please list what type of home (apartment, house, condo, trailer, etc.)(required)

If you Rent, list the Landlords name and phone number

How long have you been at this above address?

Is your yard fenced? Please describe fencing. Wood, Chainlink, etc. and Height of fence(required)

Does the fence completely enclose a yard for the dog?

Is there a dig proof barrier at the bottom of the fence? Is the fenced yard directly accesible from the house? Or is it detatched from the house? Do you have a doggie door?(required)

If you do not have a fence how will you handle dog's exercise and toilet duties?

Do you have a separate kennel run? Please describe, including height and size.

How many adults in the house and how many children?(required)

Ages of adults and children(required)

Please describe childrens experience with dogs, or if none, please say none.

Are there any visitors to your home, human or animal, with which your new dog must get along with?

Do you own other dogs? Please list names, breed, sex and ages of dogs.

Please list all other family pets and their ages.

Are they spayed or neutered?

Are your pets current on their shots?

Do you own cats? Please list how many.

Do you have a regular veterinarian? May we contact? Please list the name, address and phone number of your veterinarian.

If you no longer have a dog please describe what happened to them.

How many dogs have you owned in the past five years. Please list the breed and if you still own the dog.

Have you ever had a Siberian Husky or other northern breed dog before? Briefly describe your experience.

Why did you choose this breed?

List all plans for this dog (pet, guard, hunting, obedience, agility, etc.)(required)

Do you want to adopt a male or female, or have no preference.

Where will the dog spend the day? (loose indoors, crate, basement, garage, house, fenced yard, loose outside, kennel run, etc.)(required)

On average, how many hours will the dog spend alone?(required)

Where will the dog spend the night? (loose indoors, crate, basement, garage, house, fenced yard, loose outside, kennel run, etc.)(required)

Are any family members allergic to dogs? Describe:

Do all family members want to adopt a dog? If no, describe:

Do you agree to license the adopted dog and provide regular health care?(required)

Do you understand that NW Snowdog Rescue requires all adopted dogs to be spayed or neutered?(required)

Do you agree to contact NW Snowdog Rescue if you can no longer keep this dog? (Yes, No)(required)

Are you willing to let a respresentative of NW Snowdog Rescue visit your home by appointment? (Yes, No) If no, explain:(required)

How did you hear about NW Snowdog Rescue?

A few more questions to think about - What would you do if the dog gets lost? Where is the nearest animal shelter? What is their phone number? What will you do if the dog chews one of your shoes? What will you do if the dog Marks in your house? Will you buy a crate? How will you housetrain the dog? Estimate monthly expenses for the dog? What will you do in the event of a medical emergency?

Are you aware that Siberians and other northern breed dogs have a high prey drive?(required)

Are you aware that Siberians and other northern breed dogs must be leashed or securely fenced at all times?(required)

All of the information I have given above is true and complete. I have also read and agree with NW Snowdog Rescue (NWSR) Terms of Adoption. Should an unneutered dog be placed with me, I agee to have it neutered within one month of adoption or by a date agreed upon by me and a respresentative of NWSR. This dog will reside in my home as a pet. I will provide it with adequate food, water, shelter, training, affection and medical care.I understand that NWSR is a referral service and is NOT responsible for the accuracy of information received about the temperament, habits, or physical condition of dogs available for adoption. I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adopt it. I am in full agreement with these terms of adoption. NWSR is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household. (required)

Your electronic signature above indicates agreement to the above statement. Please indicate date of signature(required)