Adoption Application Form - Homes For Huskies Rescue Inc

Name of the dog you are applying for*

Primary Applicant Details

Name*

Prefix First Last

Address*

Street Address Address Line 2 Suburb State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Employment*

Age*

Primary Applicant must be over 21.

Co-Applicant Details

Name

Prefix First Last

Email

Phone

Your Household

How many adults currently live in your household?*

Please enter a number from 1 to 10.

How many children currently live or regularly visit your household?*

Please enter a number from 0 to 10.

What is each persons age and exposure level to dogs?*

Have the children been taught how to appropriately interact with an animal ?

Is everyone in the household aware of and agreeable to your interest in adopting?*

Yes
No

What type of residence do you live in?*

Do you own or rent your residence?*

Rent
Own

Please note: If you live in a rental property you will be required to provide a letter of pet approval from your landlord. See https://www.consumer.vic.gov.au/housing/renting/applying-for-a-rental-property-or-room/pets-and-renting

Do you have the landlord's permission to keep a dog?*

Yes
No

Landlord reference: Organization - First Name - Surname - Phone - Email

Which council are you located in?*

Do you have any future plans of moving?*

If you move, what arrangements will be made for this dog if you adopt?

How big is your yard?*

Do you have a pool?*

Yes
No

Is your pool fenced and secure ?

Yes
No

Fences

How high are your boundary fences and gates?

What are your boundary fences constructed of?*

Photos of Back fence:

Drop files here or

Photos of Right Side fence:

Drop files here or

Photos of Left Side fence:

Drop files here or

Photos of any Gates:

Drop files here or

Any other photos showing fencing:

Drop files here or

Breed Experience

Have you ever owner a Siberian husky, Siberian Husky X or any Arctic Breeds?*

Yes
No

Details of your breed experience:

Check all that apply.*

I have owned a Siberian Husky or Siberian Husky X
I have done research on the internet
A family member owns or has owned a Siberian Husky
I have talked to people who own Huskies
I have read Book(s) about the breed
I have a friend who owns a Siberian Husky
None of the above

Any other experience/research not listed above ?

Do you have any experience training and working with dogs with behavioral issues? Please give details.

Past Pet Ownership

How many pets have you owned in the past 10 years?

Dog/Cat/Other ?

Briefly describe what happened to any animals you no longer have.

Current Feline Ownership

How many cat’s do you currently own?*

Please enter a number from 0 to 10.

Are your cat(s) inside, outside cats or both?

Inside
Outside
Both

Are your cat(s) declawed?

Yes
No

Has the cat(s) ever interacted with dogs?

Yes
No

Please describe your cat(s) interaction with dogs.

Current Canine Ownership

How many dogs do you have ?*

Please enter a number from 0 to 10.

Name – Sex – Age – Breed

Has your dog(s) been C5 vaccinated within the last 12 months?

Yes
No

Is your dog desexed? If not, is there a reason?*

What is your dog's temperament, socialization and activity level?

Adoption Information

Do you currently own any pocket pets/other animals? Please list how many and breed.*

If you have listed specific dog(s) you are interested in, please tell us one thing about each dog that sparks your interest

Why have you chosen a Siberian husky?*

Energy Level Preference*

How much exercise will you be able to give your dog and how often?*

Please tell us what specific personality traits you are looking for in your new dog.*

Do you plan on letting your Husky off-lead in unfenced areas?*

Yes
No

Are you prepared for regular grooming?*

Yes
No

Please tell us what you know about the Siberian Husky breed.*

The New Dog

Where will the dog spend the day ?*

Where will the dog spend the night ?*

How many hours on average will the dog spend alone?*

Who will care for your dog(s) when you are on vacation?*

Please let us know any other information you wish us to consider in placing a dog with you. Here is your chance to personalize this application.

How did you find out about Homes For Huskies ?

Home Visit and Agreement

Do you agree to a representative of Homes For Huskies Rescue Inc to conduct a yard inspection of your yard, to ensure it meets the requirements of the rescue ?*

Yes
No

We understand that EVERYONE IN THE FAMILY, INCLUDING OTHER PETS, MUST BE PRESENT AT YARD INSPECTION AND THE POTENTIAL ADOPTION MEET & GREET. I/We further understand that completing this application does not guarantee that a dog will be placed with me. I/We understand that shall the adoption not work out for any reason he/she will not be given away, sold or put in a shelter but will be returned to Homes For Huskies Rescue Inc. I/We certify by submission of this form that I have never been convicted of any violation of any ordinance or statute enacted pursuant to cruelty, neglect or abandonment of an animal. I/We will be asked to sign an adoption agreement if a dog is placed with my family. The adoption trial is two/three weeks to ensure compatibility for both humans and dog. The adoption fee is payable before the two week trial commences. The adoption fee is fully refundable if the trial is not successful. I/We understand that owning a dog is a commitment for the dog's lifetime and if I adopt a dog from Homes For Huskies Rescue Inc. I am willing to make that commitment.

I Agree
I Disagree

Untitled