SSH—Puppy Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
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Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
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Ghana
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Greece
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India
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Iran
Iraq
Ireland
Israel
Italy
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Japan
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Kenya
Kiribati
North Korea
South Korea
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Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
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Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Birthdate * This field is required.
Date
Month
Day
Year
6
Please upload a photo of your valid drivers license:* This field is required.This helps us confirm you are who you say you are.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
7
What’s the best way to reach you?* This field is required.
Text
Email
Facebook Messenger
Instagram Messaging
8
What is your occupation?* This field is required.
If your significant other lives with you, please provide their occupation as well.
9
What type of home do you live in?* This field is required.House, Condo, Apartment, etc.
10
Do you own or rent your home?* This field is required.
11
Do you have a yard?* This field is required.
If so, please describe it— fully fenced 4’ tall, etc. If not, please explain how you will let your pup go potty, exercise, etc.
12
Do any children live in the home?* This field is required.
If so, please list age(s)
13
Does anyone in your home have an allergy to dog dander/saliva?* This field is required.
Yes, mild allergy
Yes, severe allergy
No
Unsure
14
Do you have any other pets in the house? If so, please explain: * This field is required.
Ex— Species, Breed, Gender, Intact/Spayed/Neutered, Etc.
15
When are you expecting to add a puppy to your family?* This field is required.
Ex.— ASAP, 2 months from now, Etc.
16
Please explain what you know to be true about the Siberian Husky:* This field is required.
17
Does everyone in your home want a Siberian Husky?* This field is required.
18
Do you understand Siberian Huskies come in multiple coat types?* This field is required.
Yes, I’m familiar
No, I need clarification
19
Why are you choosing to add a Siberian Husky to your family?* This field is required.
20
Please explain how you plan to train your puppy:* This field is required.
Ex— work with a trainer, train myself(explain techniques), etc.
21
Will your puppy/dog ever be off-leash?* This field is required.
If so, please explain how you will accomplish this.
22
Please explain how you plan to provide mental & physical stimulation for your Siberian Husky:* This field is required.
23
Will your Siberian Husky be crated at any time?* This field is required.
Yes
No
24
How often will your Siberian Husky be in a crate?* This field is required.
25
Will you be grooming your husky yourself or using a professional groomer?* This field is required.
26
What type of brushes should be used on a Siberian Huskies coat?* This field is required.
27
What type of brushes should never be used on a Siberian Huskies coat?* This field is required.
28
How often do you plan on brushing your Siberian Huskies coat?* This field is required.
29
Do you promise to NEVER shave your Siberian or have them shaved by someone else unless it’s for medical purposes? Please initial after your response.* This field is required.
*Please note— Matted fur does not count as a medical excuse*
30
Do you have an active Facebook or Instagram?* This field is required.If so, please be sure to like/follow our page “Sirius Siberian Huskies” on Facebook and/or follow us on Instagram “Sirius_Siberian_Huskies”
31
Please provide any information you’d like us to know about you & your family:* This field is required.
32
How did you hear about us?* This field is required.
33
Please list 3 references:* This field is required.
Full Name, Relationship, Best Form Of Contact
34
Please list your Veterinarians information.* This field is required.If you don’t currently have a vet, please list the one you plan to use: Facility Name, Phone, Address, Email, Vet Name.
Huge
Large
Normal
Small
Ok
Ok
35
Are you interested in Limited Registration(Pet Home) or Full Registration(Breeding/Show Rights)?* This field is required.*Please tell us about your breeding program if you’re requesting Full Registration*
Huge
Large
Normal
Small
Ok
Ok
36
I plan to…* This field is required.Please let us know how you plan on getting your puppy to your home.
Pick up my puppy directly from breeder & drive puppy back home
Pick up my puppy directly from breeder & fly my puppy back home via carry-on
Have a flight nanny pick up & deliver my puppy to me
Have a ground transporter pick up & deliver my puppy to me
Undecided/looking into all options
37
*Please select all that apply* If I am approved for a puppy from Sirius Siberian Huskies, I promise:* This field is required.
To send photo updates once the puppy/dog is in my possession
To stay in contact with my breeder for the life of the puppy/dog
To inform my breeder if anything positive/negative happens to the puppy/dog
To ask for advice if needed/wanted
To return the puppy/dog to the breeder if I can no longer care for them
None of the above
38
We do not guarantee EYE COLOR, COAT COLOR, or COAT LENGTH/THICKNESS as these things can all change well after pups leave us at 8 weeks old. Please initial this section to confirm you understand.* This field is required.
39
Coat color:* This field is required.
Red
Black
Grey/Silver
Sable
Agouti
Isabella White(Liver Points)
White(Black Points)
Black, Tan & White
No Preference
40
What gender are you looking for?* This field is required.
Female
Male
No Preference
41
Eye Color:* This field is required.
Blue
Brown/Amber
Bi-eyed(one blue, one brown/amber)
Parti-eyed(one or both eyes have blue & brown)
No Preference
42
What pair are you most interested in?* This field is required.*Please refer back to our Upcoming Litters page on our website if you’re unsure*
43
Once your application has been APPROVED to move forward, we will require a non-refundable $100 fee(first portion of the deposit) to be placed on our waitlist. This fee will hold your spot on our waitlist for up to 1 year from the date the fee is collected. Once puppies are born, you’ll be able to pay the second portion of the deposit to place your puppy on hold. Deposits are non-refundable. Both portions of the deposit will go towards the total purchase price. If you’re filling out an application for a puppy that is already born, the full deposit($300) will be due once approved. Please initial to confirm you understand. * This field is required.For more information about our waitlist & deposit fee, please refer back to our website.
44
Todays Date:* This field is required.
Date
Month
Day
Year
45
By signing below, I(signer) agree with the terms above & have provided truthful answers in the Puppy Application above.* This field is required.
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