Name of the dog you wish to adopt*
What is your occupation and name of your employer?*
What is your current housing status?*
How long have you lived at your current address?
If renting, do you have permission from your landlord to bring a dog into the home?
What type of home do you live in?*
Do you have a fenced in yard? If so, how large/tall and what kind of fence?
If your yard is not fully fenced, please describe how you will keep your dog secured while outside?
Are there any breed, size, or weight restrictions where you live?
Please list ALL the members of the household and ages*
Do you have any other pets at home?*
Are all of your pets spayed/neutered?
Are all of your pets vaccinated?
Have you ever owned a Husky, Malamute, or other high-energy/northern breed before?
What is the name of your vet clinic? Please include the phone number and address.
Do you authorize Kiowa’s House to contact your veterinarian to verify your pets' veterinary history? *
Please list all the species in your current care: including breed, ages, and gender *
Have you ever rehomed, given away, returned, or surrendered a pet? If so, please explain why. (No judgement)
Are you financially prepared to provide ongoing veterinary care, including annual wellness exams, vaccinations, and ongoing preventatives (heartworm, flea, tick)? *
Where will your dog be when you are not home?*
How many hours will your dog be left alone on typical days? (e.g. due to work, school, etc.)
Please list the names of anyone who will be home during the day:
Where will your dog sleep?
Please provide the name, phone number and relationship to someone as a personal reference:*
In the event of your untimely passing, whom will care for your dog? (Provide their name, address, and phone number)*
Do you consent to a basic home check (virtual or in-person)?*
Is everyone in the household fully on board with adopting an animal? *
If you can no longer keep the adopted dog, do you agree to contact Kiowa’s House rather than surrendering, selling, giving away, or rehoming the dog without contacting the*
Please upload a copy of your Driver's License*
Signature* Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
