South Florida Siberian Husky Rescue, Inc.

a non profit 501c 3 organization

South Florida Siberian Husky Rescue Adoption Application Form
In order to adopt from our rescue, all potential adopters must fill out an adoption form. Yellow boxes represent required information.

Please click the SUBMIT button only 1x when you get to the LAST page. It will generally take around 30 seconds or so once you hit submit and you will recieve an email to verify we have received your application. (so please make sure to give us a valid email address)

If you would rather download the form and fax it back to us please click here.

Please fill in all fields marked with a *

TIME FRAME:

Indicate the time frame you had in mind for adopting a Siberian Husky:

1-2 weeks 2-3 weeks 3-4 weeks 6 months 1yr *

Why you have selected this time frame?

CONTACT INFORMATION:

Name:

Street Address:

City:

All adopters must live in the
State of Florida

Zip Code:

Home#

Best time to call:

Work#

Best time to call:

Cell#:

Best time to call:

Email:

Do you check often?

Yes No

3 PERSONAL REFERENCES (you may list only one family member):

Name:

Relationship:

Street Address:

City:

State:

Zip

Phone#:

Best time to call:

Email Address:

Name:

Relationship:

Street Address:

City:

State:

Zip:

Phone#:

Best time to call:

Email Address:

Name:

Relationship:

Street Address:

City:

State:

Zip:

Phone#:

Best time to call:

Email Address:

Please click the Continue only 1x and be a bit patient.

A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free 1-800-435-7352. Florida State Registration number is #CH12548. 100% of each contribution received by SFSHR, Inc. goes towards the care and placement of the rescue dogs in our care.

4846 N University Dr. #333 - Lauderhill, FL 33351 [mailing address only]