Texas Husky Rescue, Inc

Adoption Application

Applicant Information

Applicant First Name

Last Name

Co-applicant First Name

Last Name

Street Address

City

State

ZIP

Home Phone Number

Cell Phone Number

Email Address

Date of Birth

Employer

Are all adults in agreement about the adoption? Yes No

If no, why?

Are you or your spouse a student? Yes No

Student Type

Do you or your spouse travel frequently? Yes No

If yes, how often?

Do you currently own any cats? Yes No

If yes, how many?

Residence Information

Do you own or rent?

Residence type?

Does your landlord allow pets? Yes No

Pet size/weight Limit? Yes No

Is a pet deposit required? Yes No

How much is the deposit?

Is the deposit

Has the deposit been paid? Yes No

Name of Apartment Complex or Landlord

Complex/Landlord Phone number

How long have you lived at your current residence?

How many people live in your household

Ages of Children

Do you have a fenced yard? Yes No

Type of fence?

Height of the fence?

Husky Information

Which of our huskies are you interested in?

If you had to move, what would you do with your pets?

Where would your pet stay while you are out of town?

How long will this pet be left home alone during the day?

Number of hours a day

Number of days a week

This pet will be kept...

Totally Inside
Mostly Inside
Totally Outside
Mostly Outside

Reason

Where will this pet be kept while you are at work or away from home?

Loose indoors
Loose in Backyard
Tied Up Outdoors
Outside kennel or dog run
Garage
Crated indoors
Crated Outdoors
Basement
Other

Reason

Why do you want to adopt a husky at this time?

House Pet
Guard Dog
Watch Dog
Gift
Companion for Child
Companion for Pet
Jogging partner
Other

Reason

Veterinarian Information

Office Name

Dr Name

Phone Number

Applicant's Pets

Please list every animal you’ve owned in the last 5 years (dogs, cats, etc.) - do not reptiles, birds, etc.

Adoption Application

Veterinarian Information

Applicant's Animals