Assistance Form

SMART Rehoming Assistance Form

Please fill in the form below with as much detail about your dog as possible. Please email photos of your dog to perunsiberians@hotmail.com.
Full Name *

Prefix First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
E-mail *
Photo of dog *

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.jpg or jpeg Cancel of
Photo of dog

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Photo of dog

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Photo of dog

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Dog's Name
Dog's Breed
Dog Gender

Intact male Intact female Neutered male Spayed female
Is your dog microchipped?

Yes No
Is your dog up to date on vaccines?

Yes, all Yes, rabies only Yes, DHPPV only No
Dog Age
Good with cats?

Yes No Untested
Good with dogs?

Yes Yes, submissive only No Selective
Good with kids?

Yes Yes, older No Untested
Is your dog an escape artist?

Yes Yes, climbing/jumping only Yes, digging only No
Is your dog crate trained?

Yes Yes, night time only Has been crated in the past No My dog cannot be crated My dog prefers wire crates My dog prefers plastic (airline) crates
Is your dog house trained?

Yes Yes, defecation only Yes, urination only Yes, but marks No
Is your dog kept primarily

Indoors Outdoors on a tether Outdoors in a fenced area
Is your dog primarily

A pet A working dog A sled dog
What type of home is your dog seeking?
Does your dog have a bite history?

Yes, just one Yes, multiple No Yes, unreported
Good things about my dog.
Quirks about my dog.
Dog Bio. Please try to follow our format as best as possible and be as thorough as possible.
I understand that the adoption fee is mine to do with as I please so long as my dog remains under my care while a home is found

Yes No
I understand that the adoption fee goes to SMART as soon as the dog enters physical foster care of SMART

Yes No
Should be Empty:

SMART Rehoming Assistance Form