Adoption 2

Personal Info

First Name
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Last Name
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Address
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City
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State and Zip
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Email(*)
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Primary Phone
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Alternate Phone
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Date of Birth
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Occupation
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Spouses First and Last Name
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Personal References

First Reference

No Relatives Please.

First and Last Name
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Relationship
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Phone
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Second Reference

No Relatives Please.

First and Last Name
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Relationship
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Phone
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Residence Information

Type of Dwelling
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How long at this address
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Previous address if above is less than one year
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Do you Own or Rent
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If you Rent
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Do you have your landlords permission to have a dog
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Landlords name
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Landlords phone number
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Containment Information

Do you have a fenced yard
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Fence height and Type
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If you have a fenced yard how do you plan on exercising the dog
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Are you familiar with crating
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What do you think about crates
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Household Information

Number of people in your home
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Their Names & Ages
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Their Relationship to you
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Dog Primary Caregiver
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Has everyone above agreed to the adoption
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Pet Ownership

Have you ever owned any cats
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If yes how many in the past 10 years
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Briefly describe what happened to the cats you no longer have
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How many do you own now
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Are they indoor or outdoor or both
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Are they declawed
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Have you ever owned any dogs
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If yes how many in the pasy 10 years
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Briefly describe what happened to the dogs you no longer have
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How many dogs do you own now?
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Please provide the names, ages, breeds of your pets
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Please let us know if your pets are currently spayed or neutered
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Veterinarian Information

Do you have a vet
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Name of Vet
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Address of Vet
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City, State and Zip
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Vets Phone Number
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Are you familiar with Heartworm disease
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Do you currently practice heartworm prevention
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If yes, which medication and how often?
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If no why not
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Adoption Information

Is this for a specific dog?
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If so which one?
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Personality traits you are seeking in your new dog?
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Are you willing to obtain a crate for your dog?
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Crate train your dog?
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House train if needed
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Attend Obedience Classes
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What would you do if your dog bit somebody?
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The New Dog

Where will your new dog spend the day?
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Where will your new dog spend the night?
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How many hours will your dog spend alone each day?
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Who will care for your dog while you are on vacation
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Other Information

Will you allow a representative of Howl at the Moon to visit your home by appointment?
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How did you hear about Howl at the Moon?
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*You understand that owning a dog is a commitment for the dog’s lifetime and that if you adopt a dog from Howl at the Moon Siberian Husky Rescue Inc, you are affirming that you are both willing and able to make that commitment and that you can responsibly and reliably ensure the safety and welfare of the dog.

I agree with the above
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Signature
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Submit
  

Contact Us

Howl at the Moon Siberian Husky Rescue Inc

mailing address
PO Box 8263
Zanesville, OH 43702

(740) 586-8934

HowlattheMoon@columbus.rr.com

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