Adoption Application

Adoption Application


Please fill out this form and hit the submit button at the bottom when you are done. I have read the warning label: (Alaskan Malamute Warning Label)
Contact Information
First Name:
Middle Initial:
Last Name:
Address 1:
Address 2:
City:
State:
Zipcode:
Home Phone:
Work Phone:
Email Address:
Email Address Verify:
Good time to call if we need to reach you :
Background Information
How did you hear about AMRONE?
Why do you want an Alaskan malamute ?
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Safety Information
Do you have a fully fenced yard ?	Yes No
If so, how high are the fence sides ?
Do you have a chain link dog kennel ?	Yes No
If so, how high are the kennel sides ?
Do you have a trolley, chain, or other device used to tie a dog outdoors ?	Yes No
Do you own a large dog crate (cage) ?	Yes No
Household Information
How many people live in your household ?
Do all members know that you plan to adopt a dog ?	Yes No
What are the ages of children, if any, in your household ?
Have you ever owned a malamute ?	Yes No
Do you currently own any dogs ?	Yes No
If so, please list each dogs age, sex, breed, and whether she or he is spayed or neutered :
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Have you owned other dogs in the past? If so, what breeds? When did you have them? What happened to them? Please be specific :
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How many cats, if any, do you own ?
Do you own any other animals? If so, please list :
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Veterinary Information
Veterinarian information is mandatory. If for some reason this information is not available please explain in the space provided below for other information and place NA in the locations provided for your veterinarian's name and phone number. Thank you for you cooperation.

Vets Name:
Vets Phone:
Additional Information
Would you be willing to allow a rescue volunteer to visit your home by appointment?	Yes No

Please use the space provided below to add any other information you wish us to consider in deciding whether a rescue malamute is right for you. We would appreciate it if you would give us a little insight into the expectations you may have for this new addition to your family.
(Maximum characters: 1200) You have characters left.

Contact Information

Background Information

Safety Information

Household Information

Veterinary Information

Additional Information