husky Adoption Application form

Full Name

First NameLast Name

Age

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Do you live in a:

Do you:

If Renting: Please indicate landlord contact information

Household Setting

Describe your Homes Activity Level

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Does Anyone in your Household have Allergies to Animals?

Are all members of your Family agreeable to Adopting a Dog?

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)

Do you have a preference in gender of foster?

Are you willing adopt a dog of any age?

If not, what age would you consider?

What size dog are you willing to Adopt? (Check all that apply)

Please describe the type of dog you are willing to Adopt (Please include breed, coat length, personality traits, energy level) We always want to make sure we have the best fit for our Adoption Familys

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

Have you had any experience with with an emotionally or physically neglected or abused dog?

If Yes please explain

Are you willing to use a crate for a dog if recommended?

Do you have a fenced yard?

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

What Dog Food Do you plan On Using?

How many hours in a day would the foster be left alone?

What are you plans to exercise your New Pup? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility

Veterinarian Name & Address & Phone Number

Please Provide Two Non Relative Refferences & Thier Phone Numbers

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any SAVING HOWLS HUSKY RESCUE animal adopted by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless SAVING HOWLS HUSKY RESCUE and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the Adopted dog.

I accept full responsibility for the dog(s) actions at all times, and release SAVING HOWLS HUSKY RESCUE from any liabilities or damages that may be incurred because of Adoptingsuch dog(s).

I agree to have SAVING HOWLS HUSKY RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to SAVING HOWLS HUSKY RESCUE and try to give SAVING HOWLS HUSKY RESCUE a 2 week period to try and find another suitable foster for the dog(s).

I agree that no household members has ever been convicted of animal cruelty.

I agree that I am over the age of 18.

Date

MonthDayYearHourMinutesAM/PM Option

Your name