67 Huskies & Malamutes
saved in 2017!
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Adoption Application Form

Please type your full name.
Please type your full name.
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Please type your address
Please type your full name.
Tell us the city you live in.
And your State too
Don't forget the Zip Code!
We'll need your phone number
Tell the truth now.
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DOG INFORMATION

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PERSONAL REFERENCES

Please list three professional references that live outside of your home with only one reference being a family member.
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VETERINARIAN AND LANDLORD REFERENCES

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IMPORTANT: If you rent, please provide us with a copy of your lease stating you are allowed to have pets and also your landlord's name, address and phone number.
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CONCLUSION

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UNDERSTANDINGS AND SIGNATURE

I understand that Taysia Blue Siberian Husky Rescue is a 501(c)(3) non-profit organization ran by volunteers. I understand an adoption donation of between $200 - $350 is necessary to help offset the costs incurred to the rescue and care for each husky. Due to the care and veterinary expenses incurred in foster care, most huskies cost us more than the adoption donation we ask, we welcome you to make a larger donation if you are able.

I / We understand that everyone in the family, including other pets, must be present at home checks and the potential adoption appointment.

I/We authorized through submission of this form, any veterinarian named above to release any information and records concerning my past or present care of animals to Taysia Blue Siberian Husky Rescue, Inc. I agree to hold harmless and indemnify said veterinarian for providing such information.

I/We understand that should the adoption not work out, for any reason, the dog will not be given away, sold or put in a shelter but will be returned to Taysia Blue Siberian Husky Rescue.

I/We further understand that completing this application does not guarantee that a dog will be placed with me.

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 contract if a dog is placed with my family.

I / We understand that owning a dog is a commitment for the dog’s lifetime and if I adopt a dog from Taysia Blue Siberian Husky Rescue, Inc., I am willing to make that commitment.

Please enter your name in the box below. By doing so you are hereby certifying that you are indeed the person listed above and signing this form.

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Please note that some web based email addresses (hotmail.com, live.com, msn.com & outlook.com, yahoo.com, aol.com) are currently not receiving automated emails. Add our domain @taysiablue.com to your settings to improve receipt, or use an alternate email address. Our apologies for the inconvenience.
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