Adoption Questionnaire
If you are in the Southern California or Las Vegas areas, are interested in adopting a rescued Shiba Inu and you are over 21 years of age, please complete the questionnaire below. This form will be used by rescue coordinators to help match potential homes with available rescue Shibas.
Email address *
Name *
Your answer
Home Address (Street, City, State ZIP) *
Your answer
Living situation *
Phone Number (Best # to contact you) *
Your answer
How familiar are you with the Shiba Inu breed? *
I'm interested in: *
Please let us know what type of Shiba you are interested in adopting. If you have indicated a "Young" Shiba or "Puppy", please be aware that we will request a dog trainer reference unless you have previously raised an Asian/spitz breed from puppy stages.
Required
Children under 10 years of age at home? *
Other pets at home? *
If you own other pets, please provide details (number of animals, what type, breed, sex, age, etc) *
Your answer
Tell us why you'd like to adopt a Shiba Inu! *
Your answer
References & Landlord Permission, if applicable. Please provide name & phone numbers where we can reach them. *
Your answer
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