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Adoption Application

Relationship of Co-Applicant
Home Address
Country
Address Line 1
Address Line 2
City
State
Postal Code
Are you currently a student?
Do you live in a/an:
If you rent - please provide your landlord contact info
Are you planning to move in the next two years?
Is this your first Siberian husky?
Is there anyone in your home with pet allergies?
Has a dog ever died on your premises of distemper, parvo, or unknown causes?
Have your pets been up to date on veterinary care and core vaccinations?
Are you familiar with heartworm disease?
Are you aware of the grooming requirements associated with huskies?
Are you willing to groom, or have your husky groomed, on a regular basis?
Are you aware of state and local ordinances concerning pet licensing & leashing?
Are you willing to work with your new dog the same as your own, to overcome behavioral problems, house breaking, or trust issues?
Do you have any experience crate training a dog?
Name, address and contact information.
Please provide name, relationship and contact information.
Initial Here:
Initial Here
Initial Here:
Initial Here:
Initial Here:
Initial Here:
Initial Here:
Initial Here:
Initial Here:
Sign and Date Here:
*Electronic Signatures Accepted

Thank you so much for considering saving a dogs life and adopting a husky into your home! Sincerely, HHSHR Staff