Adoption Application - Northern Exposure Siberian Husky Rescue

E-mail us at via our contact form if you have any questions. Please include your best contact information and if you are interested in a particular dog.

First Name *

Last Name *

Address *

City, State, Zipcode *

At this time, we can only accept applications from Delaware, Maryland, New Jersey, New York and Pennsylvania. If you live in another state, please contact the rescue directly to determine if we can process your application.

Email Address *

Home Phone *

By entering a valid email address, you will receive a confirmation via email that your application was received. If you do not get a confirmation email, please contact the rescue at adoption@neshr.org.

Date of Birth *

Mobile Phone *

Please provide two references of people that are not family. For both references, please include their NAME, PHONE, EMAIL AND RELATIONSHIP with this person.

Reference 1: *0 / 180

Reference 2: *

Siberian Husky Experience

Which of the available dogs are you interested in? *

Please check which best applies to you: *Owned pure Siberian(s) for less than 1 yearOwned pure Siberian(s) for 1-5 yearsOwned pure Siberian(s) for 5-10 yearsOwned pure Siberian(s) for more than 10 yearsOwned a Husky mix currently or in the past

Other Breed Experience *

Current Dogs:0 / 180

Pets given up:0 / 180

Household Information

Please check which best applies to your living arrangements: *OwnRentLiving with family

Pet approval - please check which best applies: *My lease states I can own dogs of any sizeMy landlord has given permission to own a dogI need to obtain permission from my landlordI have approval from my familyI own my home and have no township restrictions to dog ownershipI own my home but am subject to certain community restrictions

Landlord information0 / 180

Years at current residence: *Less than 1 yearOver 1 year2-5 yearsOver 5 years

Veterinarian Information

Please provide the name of your vet that you use currently or have in the past. If you are new to pet ownership, please provide the name of the vet you intend to use.

Vet Name: *

Vet Address: *

Vet Phone: *

Home check objection:

Alternate dog: *I am interested in other dogsI will consider others if it is a better match for me

Breed research: *Yes, I have read all the information on this siteI have not read all the information but am knowledgeable of the breedI plan on reading more information on the breed

Adoption Fee Acknowledgement

Our fees can be found on our adoption fee page. Please review those before submitting your application.

Please check the box to confirm that you are aware of our adoption fees *Yes, I am aware of the adoption fees