Puppy Application

General Information

Your Name (required)

Email Address (required)

Address Line 1

Address Line 2



Zip Code

Home Phone

Cell Phone

Please answer the following set of questions:

  1. Why have you picked the Siberian Husky? (required)
  2. What research have you done to find out about the Siberian Husky breed? (required)
  3. Have you ever owned a Siberian Husky or other breed of dog before? Do you still have this dog(s)? If not, what happened to this dog(s)? (required)
  4. Do you own any pets at the present time? Please list: (required)
  5. Are you single, married or in a committed relationship? (required)
  6. Are there children in the household? If so, what ages? (required)
  7. Do you rent or own a home? If renting, does the landlord allow pets? (required)
  8. Do you have a fenced yard? (required)
  9. Height and type of fencing? (required)
  10. Are you aware a Siberian is NEVER an off-leash dog except in a confined area? (required)
  11. What is your occupation/profession? What is your spouse's or partner's occupation/profession? (required)
  12. How many hours per day would the puppy be alone? Where would the puppy be kept when alone? (required)
  13. Does everyone in the family agree that a Siberian Husky should become the family member? (required)
  14. Where would the puppy sleep? (required)
  15. Are you interested in a male or female puppy? (required)
  16. Do you have a color preference: Grey, red or black? (required)
  17. Please list the name and telephone number for veterinarian: (required)
  18. Please list 2 personal references. Please include telephone numbers and email. (required)
  19. Do you have any questions you would like to ask us?

Thank you for completing this application.

Click "Send" to submit your application.

We will contact you as soon as possible.

Contact Information:

Jan (Church) Stadler
Nathrop, Colorado 81236