Name:
email address:
Phone Number:
Street Address:
City:
State:
Zip Code:
What are your reasons for wanting a Husky (show, pet, sledding, breeding):
Have you ever returned a dog to it's breeder? Please explain.
Have you ever taken a pet to the pound or shelter? Please explain.
Have you ever owned a Husky before?
Yes
No
If NO, have you researched the breed?
Yes
No
What type of home do you have?
Do you have a fenced yard?
Yes
No
Where will your puppy be kept at night?
Where will your puppy be kept in the daytime?
Is anyone home during the day?
Yes
No
Is there anyone available to feed and exercise the pup?
How many hours on average will the pup be left alone?:
Please list all current pets (cats, birds, reptiles, etc)
List species, name, age, whether spayed/neuterd and sex
Please list all current dogs.
name, age, whether spayed/neuterd and sex
Will you require shipping?
Yes
No
Are you interested in a male or female?
Male
Female
Would you consider an older dog?:
Whose litter are you most interested in?:
If puppies are already born is there a particular pup you are interested in?:

Although we do not breed for coat or eyecolor, we would like to know your preferences.

Preferred coat color? Please indicate a second choice
Preferred eye color? Please indicate a second choice
Are you a breeder? If so how many dogs do you have and what is your website?
Where you referred to us? If so who referred you?
Veterinarian name and phone number
When would you like to add this puppy to your family?
Are you willing to take responsibility for this dog for the next 10-15 years?
Yes
No