Adoption Application

Please fill out the following fields:

To fill out this application you must be at least 18 Years:

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Please make sure you type your email address in correctly. This is our main form of communication with you throughout the adoption process.
 
 
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Please see our lease/rent requirements under our FAQ section.
 
Is your yard fenced?

 
 
You live in a




 
 
Are you employed

 
 
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Please choose your references carefully. They should be someone who is able to discuss your interactions with animals. If you do not own a pet, you can choose a reference who has pets and can speak of your interactions with them. We will call them.
 
 
 
 
We will call and check with your Vet Clinic. So please inform them of this.
 
Is this the vet you will continue to use once you adopt?

 
 
 
 
 
 
 
This question will be elaberated during our phone conversation.
 
 
Routine Health Care Costs: Heartworm Preventative costs approximately 70.00 per dog per year. The average cost of an annual physical exam and shots is 100-150 per dog per year. Is this something you knew?

 
 
 
 
 
 
 
Do you have any cats

 
 
 
What time is best for you?

 
 
 
 
 
 

Join Us in our " Save a Life" Campaign

Siberian Safe Haven is launching a " I Helped Save a Life" Campaign.  We will be offering special items for sale such as shirts, hats, mugs etc... Each item will be printed with the campaign logo      " I helped save a life".  100% of the profits will be used in saving a Siberian Husky or German Shepherd from a kill-shelter.

 

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