Please fill out all required fields.
First name *
Last name *
Email *
Phone *
FULL Address *
Age *
Residency *
- please choose - Born NZ NZ Citisen NZ Resident (Over 2y in NZ) NZ Resident (Under 2y in NZ)
Home Ownership *
- please choose - Own your home Rent Flatting
If Rent or Flatting Landlords contacts *
Ages of family members living with you
What breed of dog have you personally owned before? *
Why dont you own them anymore? IE death, moved etc *
Why do you want a Husky? *
Have you ever been convicted of Animal Cruelty *
- please choose - Yes No
Have you ever been in violation of animal control laws? ie dog not registered, dog caught wandering etc *
Have you ever been convicted of ANY criminal offence? *
- please choose - Yes No Pending charges
How many dogs live with you now? Breed and Sex *
Are they all desexed?
- please choose - Yes No Some, not all
Do you have any other animals on this property? *
Fence Height *
- please choose - 1.8m (6 foot) or more all around 1.8m (6 foot) out the back Less than 1.8m (6 foot)
Do you have the time and commitment to walk your husky a minimum 5km every day regardless of the weather? (subject to upper temperature limits) *
- please choose - Yes No Some days
per year plus )I have the financial means to support owning a husky (approx $50 per week or $2500 per year plus emergency vet bills) *
- please choose - Yes No I think so
A referee that we can talk to about your dog ownership suitability *
Your current vet for your existing pets
I have read and understand the traits and requirements of a husky on the What you need to know page *
I consent to a criminal record check *
I understand that any false information given will result in my not being alowed to adopt a husky or in having any husky adopted removed from me. *
I declare that the above is true to the best of my knowledge and I understand that the completion of this form does not guarantee my receipt of a Rescue Husky *
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