Are you sure you want a Siberian Husky?

Pair-A-Dice Siberian Huskies
Loretta Martin
Lowden, IA 52255

(319) 452-3074
We take much interest and care in raising our dogs and puppies.
As a result we ask ALL potential homes to fill out and answer the following questions for our future reference.

Please input the following information:

Name:

E-Mail Address:

Web Address (if any):

Street Address:

Secondary Address Info:

City:

State:

Zip Code:

Phone Number:

Have you ever owned a Siberian Husky or other dog?

YesNo

If so, what breed or mix?

Do you own or rent your home?

Home OwnerRenter

How long have you lived at your present address?

Please list family members names, occupations, and ages:

What are you looking for in your Siberian Husky (color, gender, age, eye color, etc.)?

Do you have a fenced in yard or kennel?

YesNo

If so, what size & type?

What other pets live at your home (kind, age, gender, etc.)?

Please list your veterinarian information (name, address, phone, etc.):

Is someone home during the day or during work hours?

YesNo

If you answered 'No' to the previous question, where will you leave the dog during those time periods?

We believe in Crate Training. Are you willing to continue and buy a crate for travel and security?

YesNo

By now, you know why we love Siberian Huskies. We would like to know why you want to be owned by one?

Please input the following information:

Name:
E-Mail Address:
Web Address (if any):
Street Address:
Secondary Address Info:
City:
State:
Zip Code:
Phone Number: