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HUSKY RESCUE WA - Expression of Interest
To assist us in selecting a suitable rescue dog for your household, we would appreciate your answers to the below questions.
A fence check is mandatory on receiving a rescue dog, if you can supply/attach photos of your fence and yard the process is easier for us to ensure your suitability.
We will contact you when a suitable dog becomes avaliable or if you are successful in the application for a specific dog.
• Husky Rescue WA offers adoptive families a 2-4 week trial when we place a dog in you care.
• Please contact us if you no longer require a Dog.
• Your details are kept on record for 3 months for Adoption and 12 months for foster. After this time, if you are still interested in adoption/foster please contact us via email or resubmit this Questionnaire.
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
Mobile
*
Email
*
If interested in a particular Rescue dog on our web page, please state its name:
What is your preferred method of contact?
Phone
Mobile
Email
All of the above
Would you be prepared to
Foster
Adopt
Both
Fosters are needed over busy periods, but most of the dogs in Husky Rescue go straight into Trial Adoptive homes.
Preferred sex of dog
Male
Female
Both
Preferred age range of Dog
Please note majority of our dogs are aged between 2 & 6 years of age and wanting puppies puts you in bottom of the list, unless you enquire about a existing young rescue pup
Would you consider another Arctic breed
Malamute
Husky X
Other
No
Would you be prepared to take the dog to our vet for medical treatment ?
Husky Rescue WA uses Bayswater Veterinary Clinic, Beaufort St, Bedford WA
De-sexing/Sterilization
Micro chipping
Vaccination
No
Will you be able to provide after surgery care, i.e. after De-sexing/Sterilization?
Yes
No
Maybe
If a special diet is required are you prepared to provide the necessary food?
Yes
No
Would you take a special needs dog?
Yes
No
Maybe
Can you collect a dog from a temporary home if required?
Yes
No
If YES, distance prepared to travel?
Are there Children living in your Household
Yes
No
If YES what are the ages of your Children?
Do you have other Pets ?
Yes
No
If you answered YES to above please List ALL Other Pets -ie age, sex. breed and if they are de sexed. please include fish ponds, birds and livestock
* Please note Cats, and Small animals are not usually recommended with Huskies, having a Cat will likely affect this application. Also housing of other pets needs to be secure especially birds and Fish
Do you live in a
House
Unit / Townhouse
Acerage
Do you
Own
Rent
If you rent have you spoken to your landlord regarding having Pets?
Yes
No
Husky Rescue suggest you get permission before taking a dog to avoid problems later on.
How high are your boundary fences and Gates, where the dog will be kept?
*
1.5 - 1.6 meters
1.6 - 1.7 meters
1.7 -1.8 meters
1.8 meters and over
*Fence height recommendation is 1.8 meters (6 ft) or higher and not cattle fencing. MUST be secure with no footholds or loose makeshift fencing, and be made of Lattice.
Do you have a secure yard with no holes, gaps, footholds, escape routes, or anywhere dogs are able to dig under Fences ?
*
Yes
No
If you answered NO to above please explain, as we cannot consider you for a husky/malamute unless you have a secure area.
How many hours a day will the dog be unattended?
0 - 4
4 - 10
10 and over
Do you have any experience with Huskies, Malamutes or other Arctic Breed dogs, and or have you researched their temperament and characteristic traits? If answered NO we hope you will study the breed as they are not suitable for everyone.
*
Yes
No
Information about YOU and YOUR FAMILY in order for us to help match the right dog - please tell us here, as this helps in the adoption process.
*
Please tell us how you heard about Husky Rescue WA
Internet search
Face book
Pet Rescue Groups
Friends
Other
Photo of fence and Yard
Photo of fences and Yard
Photo of fences and Yard
Photo of fences and Yard
This application has been completed online I agree that all the information I have provided is correct.
I agree that HRWA will require if successful the applicant to sign a adoption or foster agreement and allow a property check before adoption or foster.
*
Agree