| Prospective Owner Application
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| How did you hear about us? |
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| Name of dog interested in: |
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Applicant Information
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| Name * |
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| Address * |
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| Phone (Home) * |
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| Phone (Cell) |
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| Phone (Work) |
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| Email * |
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| Drivers License # |
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| Do you (select one): |
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| Dwelling type: |
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| Do you have a homeowner's association that may have restrictions on pet ownership? |
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| If you rent, may we contact your landlord? |
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| Landlord's phone number: |
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| Do you have a fenced yard or area for your dog? Please describe. |
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Personal Data:
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| Age |
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| Marital Status |
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| Does your spouse or partner know of and approve the dog? |
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| Do you have any children? |
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| What are the ages of your children? |
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| Is anyone in your family allergice to dogs? |
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| Do you own other cats or dogs? |
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| How many other pets? |
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| List breed, sex and age of each pet you own: |
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| Are your pets spayed and/or neutered? |
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| Who is your current veterinarian? * |
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| Veterinarian's Address |
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| Veterinarian's Phone |
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| How many hours on the average day will this dog spend time alone? |
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| Please describe the last dog that you owned and what happened to it |
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| Why are you interested in owning a Siberian Husky? |
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| What research have you done about Siberian Huskies? |
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| Are you committed to caring for this dog for its lifetime? |
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| Where will the dog stay during the day? |
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| Where will the dog stay at night? |
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| Are you willing to purchase a crate if needed? |
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| Will you take this dog to obedience classes if needed? |
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Do you consider yourself financially stable enough to provide proper diet and medical care for a Siberian Husky, including emergency treatment
if needed? |
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It may take 2 to 3 weeks for the dog to settle in your home. Do you understand this and accept that the dog may have some anxiety the first
few weeks until he gets used to his new home? Are you willing to give the dog some time to adapt to his new surroun |
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| I understand a home visit may be conducted prior to my being approved to adopt? |
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| Personal Reference: |
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| Relationship |
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| Reference's Address |
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| Reference's Phone |
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| Image Verification |
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