Application
ALL potential adopter's homes are screened for suitable placements of animals. We may refuse placement of an animal for any reason. By submitting this application, you give permission to Yuki Ookami to investigate and to confirm the information that you provide.
You will need to copy the application or request a copy to be emailed to you. yuki.ookami.siberian.huskies@gmail.com
Applicants Full Name
Street address
City
State
Zip
Home Telephone
Email address
Are you over the age of 18?
Number of Adults in Household:
Number of Children in Household:
Ages of children
Do you live in a:
House
Apartment
Other
Do you
Rent
Own
If you rent does your landlord allow pets
Yes
No
Number of pets allowed per household
Is there a size or weight limit?
Yes
No
Do you have a fenced yard?
Describe the fence material:
Fence height
Is there a kennel?
Yes
No
If yes, please give description
Please list ALL Veterinary where current pets have records.
Are there any pet restrictions or city codes regarding pets in your community?
Yes
No
If so what are they?
What will you do with this pet when you need to travel?
Does anyone have any concerns about adopting this pet?
Yes
No
If so what are they?
What will you do with this pet if you have to move?
This pet will be kept:
Yes
No
How long will this pet be left home alone during the day
Where will this pet sleep at night?
Would you be willing to do obedience training with the adoption dog if needed?
Yes
No
If so, please explain your training techniques
Are you willing/ able to purchase and use a cage/crate if needed or advised?
Yes
No
Do you have a pet door?
Yes
No
Do you plan to chain this pet in the yard?
Yes
No
How will you teach housebreaking?
Who are you getting this animal for?
Self
As a Gift
What would you do if a problem develops with your dog?
What would you do if your dog was lost or stolen?
Pet owner ship over the past 5 years
Dog
Cat
Other
Breed
Age
Length of ownership
Was it spayed/neutered?
Yes
No
If no, why not?
Do you own the pet now?
If no, what happened to it?
Where was this pet was kept:
Pet 2
Dog
Cat
Other
Breed
Age
Length of ownership
Was it spayed/neutered?
Yes
No
If no, why not?
Do you own the pet now?
If no, what happened to it?
Where was this pet was kept:
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Please describe your annual vet visit:
Are you willing to allow me to photocopy your ID?
Are you willing to have the dog fixed (spay/neuter) by 6 months old for a female or 11 months of age for a male?
​
If no, why not?
Are you willing to have our kennel name as the first part of the puppy's AKC registered name?
Why would you like to add a dog to your family at this time?
How do you plan to introduce the new dog other animals and family members
What puppy name, number or litter, are you interested in?