LUNA SIBERIAN RESCUE FOSTER/ADOPTION APPLICATION

LUNA SIBERIAN HUSKY RESCUE FOSTER/ ADOPTION APPLICATION

Luna Siberian Rescue is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals in the southern California shelter system. Luna Siberian Rescue is completely funded through fundraising efforts and public donations. All of our pets receive complete medical care, which includes, vaccinations, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help Luna Siberian Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting or fostering parties are required to complete this form prior to foster or adoption. Luna Siberian Rescue reserves the right to deny any application based on answers to this questionnaire and/or interviews. Via
Applicant Information
I am applying to -

FosterAdopt
Name of the dog you are interested in:*
What made you decide to foster or adopt a husky ?*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:*

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
E-mail:*
Employer:*
Work Phone:*

Area CodePhone Number
Job Title
Personal reference (non-family)*
Reference Phone Number *
Household Information
How many adults reside in the household?*
Please list their names and ages *
Are there any children under age 18 in the home ?*

YesNo
If so, please list their names and ages
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If you rent,please provide name and phone number of your landlord,and answer the following 2 questions below
(please give complete information)
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?

Number of petsSize or weight restrictionsBreed restrictionsNone
If there are restrictions, please describe them.
Do you have a fully fenced yard?*
Height and type of fence*
Are there any holes or gaps ?*
Do you have any of the following *

Swimming PoolCatsSmall animals - rabbits etcBirds/ chickensNone
If you have children, have they been around animals before?*

YesNoNot applicable
Please list the names and ages of any children in the home. If "none" , put N/A *
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
What is your current activity level and how do you plan to make sure your new pet gets exercise?*
Current/Previous Pet Information
List the name,age and type of the pets you currently own*
How many of these pets are spayed/neutered?*
Where are these animals now?*
Have you adopted from an animal welfare group before?*

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
If you do not have a vet reference, please give the name and number of one ADDITIONAL personal reference
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will you new dog be allowed during the day when you are home?*
Where will the dog be allowed during the day when you are NOT home?
Where will the dog sleep at night ?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What type of dog food do you use? If you do not have a pet, we can suggest quality foods .
Do you agree to let Luna Siberian Rescue and it's associates to contact your vet and references?*
I agree the fee associated with adopting a dog from the rescue is considered a tax deductible donation to the rescue to support ongoing care for huskies in need. The donation amount is 300.00 for adult dogs. Puppies 400.00*

yesno
Signature
Date:
By submitting this application I certify that the answers in this application are true and correct.

PLEASE BE AWARE WE ARE AN ALL VOLUNTEER ORGANIZATION . APPLICATIONS DO TAKE 48-72 HOURS FOR RESPONSE AT TIMES. WE DO OUR BEST TO RESPOND IN A TIMELY MANNER.

THANK YOU FOR YOUR UNDERSTANDING .
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LUNA SIBERIAN HUSKY RESCUE FOSTER/ ADOPTION APPLICATION

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information