The Alaskan Malamute Help League
Adoption Application
Thank you for your interest in adopting a rescued malamute from the Alaskan Malamute HELP League (AMHL). In order to be considered as an adopter you must:
be 21 years of age or older; have identification showing your present address; have the knowledge and consent of your landlord, or alternatively, your family; be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet.
This form is an Adoption Application -- not an agreement to adopt a dog. We will use your answers as a starting point to work with you to determine whether or not a malamute is really the dog you are looking for. If so, your completed application will provide the information we need to help you select a pet who will fit in well with your family, lifestyle and expectations. The completion of this application is the first step toward approval as an AMHL adopter. In addition, you should: Notify all references whom you list on this application, including veterinary clinics and private individuals giving them your permission to speak with an AMHL representative when contacted Expect to be contacted by an AMHL volunteer with additional questions that will help us in processing your application. Cooperate in scheduling a home visit. (with all members of your family present)
There is an adoption fee for all dogs adopted through the AMHL of $300.00 for healthy dogs aged seven and under or $75.00 for dogs over the age of seven. The AMHL does not charge a fee for shelter or owner referrals. In the case of dogs who remain in shelters or with owners until they are placed, all contractual arrangements are made directly between the shelter/owner and the adopter.
The AMHL reserves the right to refuse adoption to anyone.

About You:
First Name(s):		Last Name:
Home Phone:		Business Phone:
Cell Phone:
E-Mail:
Street Address:
Mailing Address:
City:		Province:	Select a ProvinceAlaskaAlbertaBritish ColumbiaCaliforniaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaOntarioPrince Edward IslandQuebecSaskachewanWashingtonYukon
Country:	CanadaUnited States	Postal:
How did you find us? Dogs in Canada Annual Dogs in Canada Monthly Pet Show Brochure Website Other
Depending upon the time of year (summer vacations, etc), and the number of dogs in urgent need at any given time, our volunteers may require up to 2-3 weeks or more to process an application. Please indicate your expectations for adopting a malamute from the AMHL: As soon a my application is approved (I see a dog I want) Waiting a few weeks will be fine I just want to be approved, then take my time in selecting the right dog

References:
[Two References are required. At least one should be a Vet Clinic, breeder, trainer, or groomer. Should you not provide any of these, please explain why (below) and provide three personal references.]
Vet Clinic's Name & Location:
Phone: Email:
Breeder/Trainer/Groomer:
Phone: Email:
Personal, Name & Relationship:
Phone: Email:
Personal, Name & Relationship:
Phone: Email:
Personal, Name & Relationship:
Phone: Email:
If no references, why not?
I agree to immediately contact all references listed above, giving them my permission to speak with the AMHL representative(s) who contacts them. Yes No

Health Care:
Every rescue dog is spayed/neutered before the adoption.
I agree to take the rescue dog to the vet within one week of adoption for heartworm prevention (during "mosquito" months, where applicable) and for a veterinary examination. Yes No
I agree to administer heartworm prevention during mosquito season if applicable in my area. Yes No
I agree that the rescue dog will have an annual vet visit to include vaccine boosters as required, examination, and at least every second year, a heartworm test. Yes No

Household:
Describe Household Members, include ages & occupation, if applicable, of all persons in residence:
Do any members of the household have allergies? If Yes please explain:
How long have you lived at your current address?
Describe your home:	Rural Suburban Urban	Rented or Owned:	Rent Own
Home Setting:	House Apartment Townhouse Duplex Condominium Mobile Home Other
Describe Fenced Area (materials, size, height):
If your yard is not fenced, are you willing to construct a kennel enclosure for your pet? If you are not willing to do this, describe the measures you will take to keep your pet secure while they are outdoors.
Is there a possibility of a change of residence in the next year? Yes No
If you have to move what would you do with your pet(s):

Your Pets:
Describe your current dogs, Name(s), breed(s), size(s), age(s), gender(s), pack hierarchy:
Describe monthly & annual health care:
Describe dogs you've had in the past -- Name, breed, size, age, sex, pack position, how long did you have them? What happened to them?
Where, what & how are the dogs fed?
Has your current dog(s) lived with other dogs before? Yes No
How will you introduce the new dog?
Do you have cats, other pets or livestock? Please Describe:
Describe your experience with northern breeds:
What did/do you like the LEAST about northern breeds?

The New Dog:
It is our practice to place each dog with the applicant whose home, lifestyle, and family situation best fits his/her needs. While we cannot guarantee that the dog you are initially interested in will ultimately be placed with you, we will, once your application is approved, seriously consider your home for the dog or dogs you indicate below. Please select the dog(s) which you are considering for adoption, if any:
Hold down the CTRL key and click to select multiple dogs.
No Specific Dog Belle Kimo Laska Luke - ON Patches Tessa Tundra -ON
Describe your ideal malamute:
Why do you wish to adopt this dog?
Companionship Obedience Winter Sports Therapy Agility Other
Which sex you prefer?: Either Male Female
What age range(s) would you be willing to accept?
Puppy(less than 12 months) Young Adult(1-3 years) Adult(4-7 years) Senior(8+ years) No Preference
Would you consider a long distance adoption or would you like to meet your malamute first?
What characteristics MUST the dog have in order for the adoption to take place?
Housebroken Good with children under 5 Good with school-age children Good with teenagers Good with seniors and/or disabled adults in the home Gets along with cats Gets along with small dogs Gets along with large dogs Other
Please describe a typical weekday for your dog:
Please describe a typical weekend for your dog:
Where will your dog sleep?
On average how many hours will the dog be left alone in a day, and where will the dog stay while you are working or out?
What do you plan to do with your dog when you go on vacation?
Do you know what bloat or torsion is? Yes No
Explain shedding, as it relates to malamutes:
We strongly recommend a training class and in some cases, attendance may be a condition of adoption. Will you attend and complete, training classes as required? Yes No
If not, why?

Miscellaneous:
What would you do if your dog got lost?
Where is the nearest animal shelter:
What will you do if the dog marks in the house?
Will you buy a crate? Yes No
Have you been in contact with one of our Rescue Coordinators, if yes, who? Select Contact Person Jennifer Broadbent Christine Clark Trish Forrest Phil & Isobel Johnston Diana Koller Jocelyn Lloyd Diana MacTavish Tracey PeregoCalgary Humane Society Shawna Sikora Deborah Ann (Duffy) Taylor Anand Venkatarangam Pat Walker
I am aware that the Alaskan Malamute HELP League will conduct an interview (telephone or in-person) and reference checks prior to adoption. Yes No
I am aware that the Alaskan Malamute HELP League will conduct a home visit prior to the approval of my application. Yes No
I agree that malamutes can NEVER be trusted off leash unless in a securely fenced area. Yes No
I understand that malamutes are known for killing livestock and small animals. Yes No
I understand that malamutes do not make good guard dogs. Yes No
I understand that dogs who are still in the care of an owner or in a shelter at the time of adoption are NOT evaluated by the Alaskan Malamute HELP League and that the AMHL makes no guarantees regarding their description, temperament or behaviour. Yes No
I wish for the AMHL to consider the following additional information:
Again, thank you for your interest in adopting a rescued malamute. Every Malamute we place in one less that is lost, hungry, abused, or destroyed.