Personal Information
Name:
*
Street Address:
City:
State:
Zip Code:
Email Address:
*
Phone Number:
Best times to contact you:
How did you hear about Nanook Siberians?
Do you own your home or rent?
If you rent, do you have your landlord's permission to have a dog?
Yes
No
If yes, please provide your landlord's name and phone number:
Describe your home location (choose one):
Rural
Suburban
Urban
Your home setting (choose one):
House
Apartment
Townhouse
Mobile Home
Duplex
Condominium
Other (specify)
Do you have any children? If so, what are their ages and history with dogs?
Is there any history of allergy or asthma in your family?
Your Siberian Husky
Which sex do you prefer?
Male
Female
No preference
What age of dog are you interested in? (check all that apply):
Puppy
Young Adult
Retired Show Dog
Don't know
Why do you wish to purchase this dog or puppy? (check all that apply):
House pet
Showing in Conformation
Showing in Performance (Rally, Obedience, Agility, Herding)
Breeding
Therapy or Assistance dog
Companion for other pet
Protection for home/family
Watchdog
Companion for family
As a gift
How long have you been considering or looking for a Siberian?
Would this be your first Siberian? First dog? If not, please describe other dogs you have owned or currently own.
Are they spayed or neutered? How will you train your Siberian to co-exist with them?
Describe the characteristics of the ideal Siberian to match your family’s lifestyle and meet your purposes (i.e. activity level, size, personality type etc).
Where will the puppy be kept during the day? During the night?
Where will the puppy be kept when nobody is home? How many hours per day will the puppy be home alone?
Will this dog be an indoor/outdoor dog or strictly outdoors?
Indoor/outdoor
Strictly outdoors
Where will the dog sleep?
How do you plan to train the dog? (Check all that apply):
Attend group obedience classes
Self train at home
Private (one-on-one) obedience class
Hire a trainer
Send to board and train school
Does everyone in your family want a Siberian to become a part of your family? Are there any reservations about a new addition?
Please describe your yard. What type of fence (material, how high)? Do you have a kennel run?
If you have no fence or kennel run, what are your plans for controlling your puppy outside of your house?
How do you plan on exercising your Siberian? What type of exercise and how often?
Which member of the household will have the primary responsibility for taking care of the puppy?
Briefly describe your experience in training a dog. Include both methods and results. If you have not had any experience, how do you plan on learning?
What are your feelings on spaying and neutering?
What are your expectations of a breeder?
Would you be willing to let us visit your home?
Yes
No
Pets are a long term investment and commitment of time and money. Can you afford to provide veterinary care, proper diet, proper shelter and exercise of your new Siberian for its entire life span?
Yes
No
Under what circumstances would you not be able to keep this dog?
Have you ever returned a pet to the breeder, given a pet away, or given up a pet to a shelter or pound? If so, what were the circumstances?
Are you willing to buy a crate and crate train this dog?
Yes
No
Please provide us with two references (name and phone number) of people who know and have known you and your dogs/pets.
Please let us know any other information you wish us to consider in placing one of our Nanook Siberians with you – here is your chance to personalize this application.
All of the information I have given above is true and complete. I understand that submission of this application does not guarantee that I will be offered a dog or puppy for purchase, and that Nanook Siberians is under no obligation to provide me with a puppy. This application becomes part of our contract.
Agree
Disagree
Photos of your home, yard and family members (animals included) are appreciated as they assist us in getting to know you better and making a selection for your. Photos may be emailed . Thank you for your interest in Nanook Siberians. Please remember that we want to make the best fit for our Siberians and your family. Please do not hesitate to contact us with any questions.