Husky Adoption Application Form

Adoption application

Perspective Husky Parent *

First Name Middle Name Last Name

Name of Huksy You Wish to Adopt *

Are you aware of the husky's medical condtion? *

Have you reviewed our online digital library and blog? *

Email Address *

Phone Number *

Area Code Phone Number

Address *

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

Do you own any pets? *

Pet Name(s)

Pet Breed(s)

Pet's disposition and behavior towards other dogs?

Please provide your veterinarian's name and phone number:

Do you own or rent your home? *

Own Rent

Do you have a yard? *

Yes No

If "Yes" to the above, is it fenced? please describe

What is your landlord's pet policy? *

If you rent, please provide your landlord's information here: *

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter? *

Yes No

Are there children in the home? (If yes, please list ages) *

If you answered "Yes" to the above question, please provide detail:

How many hours per day would the pet be alone? *

Will you crate your pet? *

If you have to leave town, emergently or planned, where would your pet stay? *

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet? *

Please provide the names, emails, and contact numbers for 3 personal references: *

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment? *

Yes No

If you answered "Yes" please provide a detailed description:

I agree to Louisiana Husky Rescue Inc. adoption process, will undergo a homecheck, and interview at the discretion of Louisiana Husky Rescue Inc.
I understand Louisiana Husky Rescue Inc. will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Louisiana Husky Rescue Inc. and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Louisiana Husky Rescue Inc. and provide a 14 day period to allow Louisiana Husky Rescue Inc. to make arrangents for my pet to be taken back into rescue.
I agree to indemnify and hold harmless Louisiana Husky Rescue Inc. against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
I understand that Louisiana Husky Rescue Inc. will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Louisiana Husky Rescue Inc. and provide transport to where Louisiana Husky Rescue Inc. deems appropriate.
I verify all of the above information is true and accurate.

All adoption fees must be in cash or certified check. We do not make money on our rescue dogs. The donation helps us to offset our expenses. All our rescues are spayed/neutered, vaccinated, heartworm tested, microchipped and dewormed. We also pay for the following expenses: Shelter fees to have the dog released into our rescue group; Kennel fees to board the dog till he/she finds their own home unless a foster home is available. The donation enables us to continue our rescue efforts. THIS DONATION IS NON-REFUNDABLE - ABSOLUTELY NO EXCEPTIONS.

Is this acceptable? *

The adoption procedure includes filling out this application, a phone interview, meet the dog/in-person interview, contract signing (which stipulates the animal MUST be returned to us if you can no longer keep it), home visit prior to adopting and one or more follow-up visits. This is all to ensure the safety of the dog since we don't know you.

Is this acceptable? *

Just like humans, dogs need care throughout their lives. This can include, but is not limited too, yearly checkups, boosters or vaccination titer tests, heart worm. Flea/tick preventative, etc.

Are you able/prepared to provide your pet with vet care? *

All dogs must be given each month a heartworm preventative as well as flea/tick preventative.

Are you able/prepared to provide your pet with monthly heartworm and flea/tick preventatives? *

In the unfortunate event that your pet will get ill or injured, would you be prepared/able to cover the possibly high cost of extensive vet care?

Type yes *

All dogs need some time to adjust to their new environment, new family and new routine. This includes, but is not limited to, crate-training, counter-surfing, house-breaking, walk schedules, sleep schedules, etc. Please remember adjusting your dog to their new schedule may take some time.

Are you prepared to give the dog time to settle in? *

Adopting companion animal is a long term commitment of at least 12-15 years (depending on age of animal), please consider this before adopting.

Is this acceptable? *

Signature of Potential Pet Parent *

Signature

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