Are you at least 18 years of age? (Application must be filled out by an adult member of the household)
Yes No
Why do you want to own a Siberian Husky?
Who are the human occupants of your household? (Include ages of children, NOT adults)
Who are the animal occupants of your household? (Include type, breed, ages, gender and spay/neuter status, temperament). Enter N/A for no pets.
Are all your dogs spayed/neutered? YesNoN/A
If not, are you willing to have them altered before adopting a dog from ASHRA? Note: ASHRA requires all dogs in an adoptive home be altered - no exceptions. YesNoN/A
Do you own or rent your home? OwnRent
If you rent, do you have your landlord's permission to have a dog? Note: ASHRA requires adoptive rental homes to provide written proof of landlord's permission. YesNoN/A
Do you have a fenced yard? Note: ASHRA requires adoptive homes to have a fenced yard. If you do not have one, we may, under specific, rare circumstances, make an exception. YesNo
If so, please describe the yard in detail (size, landscaping, available cover, pool & pool fencing, etc.)
Please describe the fence in detail (type, material, height at lowest point - measure if possible, etc.)
Where will this dog live primarily? Inside Outside Both
If inside, what type of accommodations will the dog have and where will the dog sleep?
If outside, what type of shelter from the elements will the dog have?
Please list all dogs that you've owned in the past. Include breed and the reason you no longer have them.
What is your gender preference for a Siberian Husky? Male Female Either
Would you accept a dog that needs some training or re-training? Yes No
How familiar are you with the Siberian Husky breed? (List examples of experience/exposure)
What is the name and contact info of your current veterinarian?
Who will be responsible for the care of the dog?
Are you interested in basic obedience training? Yes No
How did you hear about our organization? *
Tell us anything else we should know about you: *
Our Terms & Conditions:
Always use a leash: Siberian Huskies must always be enclosed in a secure yard or on a lead - they can never be let run loose.
Please confirm that you understand this by checking this box: I understand
Arizona Siberian Husky Rescue and Adoption requires, in all cases, that any unaltered dog adopted through it’s auspices be neutered
or spayed before adoption unless there is a physical reason for delaying such surgery. We also require that the adopter keep all
shots and vaccinations current. All other dogs in an adoptive home must be spayed/neutered. I WILL NOT ATTEMPT TO HOLD ARIZONA
SIBERIAN HUSKY RESCUE AND ADOPTION RESPONSIBLE FOR ANY DAMAGES WHICH THE ANIMAL MAY DO TO ANY PERSON OR PROPERTY, NOR FOR ANY
ILLNESS OF THE DOG OR DEBTS OR PAYMENT INCURRED FOR SERVICES OF A PRIVATE VETERINARIAN.
ASHRA requires a non-refundable application fee of $10. Your application will NOT be processed until we receive notification that your application
fee has been received.
How will you be paying the application fee?
PayPal Check
There is an adoption fee for each dog adopted, typically of $150, which must be paid before the adoption is finalized. The
application fee can be applied towards the adoption fee. I UNDERSTAND THAT MY APPLICATION FEE IS NON-REFUNDABLE AND CAN BE
APPLIED TO THE ADOPTION FEE IF I AM APPROVED FOR ADOPTION. I UNDERSTAND THAT AN ADOPTION FEE IS REQUIRED FOR EACH DOG ADOPTED.
Please type YES to agree to these terms:
Please solve to prove you are human: What is eleven minus five?
Note: you will be required to sign a paper version of this contract before you can adopt an ASHRA dog.
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