Application Form

Personal Information

First Name:MI:Last Name:email:

Street Address1:City:Verify e-mail:

Street Address2:Zip Code:State:AKALARAZGAIAKSKYMNMSMONENDOHOKTN

Phone (Only one needed)   Home:Work:Cell:

Near what large city are you located?Do youown orrent?

If you don't own your residence please provide your landlord's name and phone number:

Household Information

Spouse/Partner Name:Ages of Adults in Home:Ages of Children in Home or Visiting:

Is everyone in the household in agreement about adopting a malamute:yes or no?

Who else (children, grandchildren, neighbors, nephews, nieces, etc.) will have contact with the dog?

Malamute Experience

Have you ever owned an Alaskan malamute before:yes or no?

Which do you prefer:male,female oreither?Will you consider a malamute mix:yes or no?

Malamute Living Environment

How long will the dog be left alone, on average each day?

Where will the dog stay during the day?

Where will the dog sleep at night?

Do you have a completely fenced in yard:yes orno?Are you familar with crate training:yes orno?

Approximate size of fenced area:ft. byft.Fence Height:ft.

If you do not have a fenced yard, how do you plan to exercise and contain a malamute?

Do you understand that a malamute can never be off-leash in an unsecured area:yes orno?

Do you plan to use a chain, tether, or overhead runner to contain a malamute:yes orno?

Do you intend to be aSingle Dog orMulti Dog Home?

Pet History

Please tell us about your current pets: breed, sex, age, spayed/neutered or put "none" if you don't currently have pets:

Please tell us about all the pets you’ve owned in the past, how long you had them, and what happened to them:

Home Check, References & Other Considerations

Are you willing to allow a volunteer to visit your home by appointment:yes orno?

Please list the contact information of current and/or prior veterinarians for all pets owned in the last 10 years.
Please note: we must be able to verify vaccines, spay/neuter, and heartworm preventive purchases. If you purchase your medications somewhere other than from your veterinarian, please indicate where.

Please take a moment and add any other information you would like us to consider:

By submitting this application, you declare that the above is true to the best of your knowledge and ability. You authorize the veterinarian listed above to release information on the health care of your current and/or prior pets. You further understand that completion of this application does not guarantee that you will be able to adopt.

Enter the characters you see in the image. If you cannot read the image, click for a new one.
New
Image

SubmitReset