Adoption Application

Thank you for your interest in Alaskan malamute rescue!

Complete this application only if you reside in one of the following states:

Alabama	Minnesota	North Dakota	Arkansas
Mississippi	Ohio	Georgia	Missouri
Oklahoma	Kentucky	Nebraska	Tennessee

If you live in a state not listed above, that means that there is an AMAL affiliated rescue contact in your area. Please find your local contact here.

Please fill out the application completely. Questions with required responses are colored red. The application will not be accepted if answers to those questions are omitted.

First Name:		Middle Initial:		Last Name:
Street Address 1:		City:		State:	AL AR GA KY MN MS MO NE ND OH OK TN
Street Address 2:		Zip Code:		e-mail:
What large city are you closest to?
Phone Home: or Cell:				Verify e-mail:
Do you	Own or Rent ?
Renters, landlord name and phone:
Spouse/Partner Name:   Ages of Adults in Home:
Is everyone in the household in agreement about adopting a malamute? Yes No
Ages of children or grandchildren in the home  or visiting .
Who else will have contact with the dog? (i.e.; children, grandchildren, nieces, nephews, neighbors, etc.)
Have you ever owned an Alaskan malamute before? Yes No				Do you prefer a male or female ?
Will you consider a malamute mix? Yes No
How much time will the dog be left alone, on average each day?
Where will the dog stay during the day?
Where will the dog sleep?
Do you have a fenced yard? Yes No			Are you familar with crate training? Yes No
Approximate size of fenced area: ft. by ft.				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 No
Do you plan to use a chain, tether, or overhead runner to contain a malamute? Yes No
Do you intend to be a Single- or Multi- dog home?
Please tell us about your current pets: Breed, Sex, Age, Neutered?
Please tell us about all the pets you’ve owned in the past; how long you had them, and what happened to them:
Are you willing to allow a volunteer to visit your home by appointment? Yes No
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.
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