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*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Photo of dog*

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.jpg or jpeg Cancelof
Photo of dog

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.jpg or jpeg Cancelof
Photo of dog

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.jpg or jpeg Cancelof
Photo of dog

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Dog's Name
Dog's Breed
Dog Gender

Intact maleIntact femaleNeutered maleSpayed female
Is your dog microchipped?

YesNo
Microchip #?
Is your dog up to date on vaccines?

Yes, allYes, rabies onlyYes, DHPPV onlyNo
Please attach the complete vet file for your dog.

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Alternatively, your vet may email it to us at perunsiberians@hotmail.com Cancelof
Dog Age
Dog's Birthdate

MonthDayYear
Date
Good with cats?

YesNoUntested
Good with dogs?

YesYes, submissive onlyNoSelective
Good with kids?

YesYes, olderNoUntested
Is your dog an escape artist?

YesYes, climbing/jumping onlyYes, digging onlyNo
Is your dog crate trained?

YesYes, night time onlyHas been crated in the pastNoMy dog cannot be cratedMy dog prefers wire cratesMy dog prefers plastic (airline) crates
Is your dog house trained?

YesYes, defecation onlyYes, urination onlyYes, but marksNo
Is your dog kept primarily

IndoorsOutdoors on a tetherOutdoors in a fenced area
Is your dog primarily

A petA working dogA sled dog
How many hours, on average, is your dog left home alone per day?
Dog's reaction to being home alone? Destructive? Loud? Please be thorough.
What type of home is your dog seeking?
Does your dog have a bite history with humans?

Yes, just oneYes, multipleNoYes, 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. Include things such as daily routine, habits, training known, good traits, bad traits, social skills with dogs and humans, etc.
Failure to provied a bio will result in your dog not being posted for adoption
Is your dog CKC, AKC, or UKC registered?

YesNo
What is the contact information for your breeder? Include your dog's registered name and number.
If yes to the above, I have contacted the breeder to return my dog?

YesNo
I understand that all applications and home visit reports will be sent to me via email. I agree to respond to such emails within 24 hours of receipt. I understand that failure to respond in a timely manner will result in my dog's profile being removed.

YesNo
I agree that I am NOT to contact any applicants directly until given instructions from SMART to do so for the purposes of arrange a meeting/answering questions. I understand that initially, I am to ONLY inform SMART if I would like for an application to proceed after reviewing it.

YesNo
I understand that once applications are in progress for my dog, I am obligated to release my dog for adoption once the process is started. Withdrawal from rehoming will result in a $500 penalty to be paid to SMART. I may withdraw my dog at any time, without penalty, and rehome privately UNTIL and UNLESS application(s) is/are in progress.

YesNo
I agree to inform SMART when my dog is adopted, if I choose to rehome myself. I also agree to keep SMART updated on whether my dog is still needing a home. I understand that my dog will be removed from the listings after 3 months if I do not keep in contact.

YesNo
My deadline for rehoming is? Reason for rehoming?
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

YesNoPlease keep the adoption fee as a token of my thanksI would like to keep the adoption fee
I understand that if my dog is sexually intact and under the age of 7 at the time of adoption and remains in my care until a home is found, the adoption fee that will come to me after proof of neuter is presented to SMART by the adopter, is less the rebate.

YesNoPlease Keep the feeI will spay/neuter my dog before adoption
I understand that the adoption fee goes to SMART as soon as the dog enters physical foster care of SMART

YesNo
I understand that in a foster-to-adopt situation, the adoption fee allocation will be discussed with SMART

YesNoPlease keep the feeI would like the fee
Signature

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Should be Empty:

SMART Rehoming Assistance Form