Adoption Application

Name of the dog you are interested in adopting

Your Name

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

Partners Name

First NameLast Name

Partners Phone Number

Area CodePhone Number

Partners Email

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Own or Rent

Type of dwelling:

How long have you lived there?

Secure Fence and Yard?

Fence Height and Material

Do you use pesticides, snail bait or poisons in your garden?

YESNO

Have you owned a husky before?

Have you ever had to give up a dog?

YesNo

If yes, for what reason?

List the Breed/Sex/Age of any other dogs in the household

If you own dogs already are they neutered or spayed

YESNO

Are they dog-friendly and well socialized?

YESNO

What is the primary reason you want to adopt a dog?

Any Children in the Home...

YesNo

...and if so you agree to properly supervise them around the dog and you agree to never allow the child to tease, torment or hurt the dog.

YES

Anyone in household allergic to animals?

YesNo

Who will train, feed and exercise animal?

Can you walk your pet at least once a day?

YESNO

Where will the dog sleep at night?

Where will your dog stay when you are on vacation?

Where will the dog stay when you are not home?

How many hours will the pet be alone?

Do You own a crate?

YESNOWilling to get one

How much time are you prepared to allow for your new pet to adjust to your home?

What will happen to this pet if you move house?

WHAT WOULD YOU DO IF YOUR DOG DEVELOPS A PROBLEM WITH ANY OF THE FOLLOWING BEHAVIORS?

Housebreaking?

Separation Anxiety?

Digging/Chewing?

Escaping/Running Away?

Aggression?

IF ANY OF THESE WERE TO HAPPEN COULD YOU KEEP THIS PET AND CONTINUE TO WORK WITH THESE ISSUES

YESNO

Under what circumstances would you not keep this dog?

* I / we understand that if we adopt a dog, we can afford and we will provide professional vet care, and a nutricious diet,. I/we will not use this dog for any purpose other than companionship and agree to provide a safe and enclosed environment for my dog.

I/we understand that ARA Canine Rescue Inc does not allow their adopted dogs to be kept exclusively outdoors or left tethered/chained to a stationary object while unsupervised for more than a short time. I/we understand that our adopted pet could live for 15 years or more and that we will provide a loving home for the duration of our pets life.

*We also agree that if we are required to re-home our dog we will work with ARA Canine Rescue and make proper arrangements and efforts to find our dog a new home.

*No member of our household has ever been convicted of cruelty to animals.

You agree to a home-check prior to your adoption application being approved

YesNo

Enter the message as it's shown*