Fill out the following form to apply to place a dog in our rescue program. All of the information you give us will then be used to help match your dog with an appropriate adopter. Starred (*) fields are required.

The following are requirements for all dogs accepted into our program. If your dog does not meet these qualifications please contact us for further help.

  1. AKC papers are not required, but the dog must be a purebred siberian husky.
  2. You must be the owner or temporary guardian of the dog to use this online submission form.
  3. You must not be asking an adoption fee for the dog.
  4. The dog cannot have bitten a human being before or have any serious aggressive tendencies.

Please note that there is a minimum non-refundable $10 fee required for all dogs accepted into the program. After submitting the following form a rescue volunteer will contact you within a few days. Once your dog is accepted into the program this fee will need to be sent to us before your dog can be matched with potential adopters or listed on our website.

To apply by mail please click here to download a PDF application.

Patriot Siberian Husky Rescue does not have a facility where dogs can be surrendered. We have VERY limited foster homes and not all dogs can be accepted into foster care. We cannot offer temporary foster. All parties filling out the surrender application MUST be the legal owner. If immediate surrender is needed, you should contact your local Animal Control Officer or shelter. Surrendering owners may not require or receive any money from Patriot or the adopter. Any listed Siberian may not be listed anywhere else such as Craiglist. Patriot volunteers do not inspect adopter's homes but surrendering owners may choose to do so. Surrendering owners are expected to meet on neutral ground with prospective adopters such as a park, walking trail etc. You are encouraged to wait at least 24 hours after meeting an adopter before surrendering. Surrendering owners are to supply adopter with vet records, transfer of ownership paperwork and microchip information. Dogs will not be posted until the $10.00 fee is paid and pictures are provided.

You will be able to comeback to this form on the same computer and browser and the info you have filled in will be automatically entered again for you.

Basic Information


years months




Current Owner & Breeder Information

Owner Information


Breeder Information

Dog's Health

Vet Info



Heartworm Info

Flea/Tick Info

Nutrition Info

Special Needs



About the Dog and Home Life

About Other Animals







About Other People




About the Home




(please check all that apply)


On a scale of 1-5 rate the following behaviors
(1 being the best/no issue, 5 being the worst/has issue and use U for unknown)