Adoption Application

Thank you for your interest in our dogs. We are glad that you have considered adopting a malamute from Second Chance Alaskan Malamute Program, Inc. Please fill out the following questions. We will use your answers as a starting point to work with you to determine, first whether or not a malamute is really what best fits your lifestyle. If so, we will then help determine which malamute best fits your expectations and lifestyle.

This is an adoption application-it is not an agreement to adopt a dog. SCAMP, Inc. reserves the right to refuse adoption to anyone.

The adoption fees are as follows:

*****Under age 1 year- $200*****Over age 1year-$150

Name:__________________________________________________________________

Home address:__________________________________________________________

Home Phone:___________________________________________________________

Work Phone:____________________________________________________________

Email:___________________________________________________________________

How did you hear about SCAMP,Inc?_____________________________________________________________

Household members(and ages of children,if any)_________________________

_________________________________________________________________________

Describe your home: Rural Suburban Urban (choose one)

Do you rent or own?_____________________________________________________

Home setting: House Apartment Townhouse Duplex Condo Other

Describe current pets that reside with you-please include age, sex, size, name and pack heirachy________________________________________________________________

Describe these pets monthly and annual health care:_____________________

_________________________________________________________________________

Describe the dogs you have had in the past-Name, breed, how long you had them and what happened to them:

_________________________________________________________________________

_________________________________________________________________________

Where, what & how are your dogs fed?__________________________________

Have your current pets ever lived with other dogs?_______________________

How will you introduce the new dog?____________________________________

Do you have cats or other livestock?_____________________________________

Vet Clinic name, address and phone:____________________________________

_________________________________________________________________________

Why do you wish to adopt a Malamute?_____________________________________________________________

Which sex do you prefer?__________________________Age?_________________

What Characteristic MUST the dog have:

Housebroken___Good with children under 10___Good with older children_

Gets along w/ cats and small dogs___Other______________________________

What do you like LEAST about Malamutes?_______________________________

Describe a typical weekday for your dog_____________________________________________________________________

Describe a typical weekend for your dog_____________________________________________________________________

Where will he sleep?_____________________________________________________

Is your yard fenced?____If no, are you willing to construct a kennel enclosure for your pet?_________ If you are not willing to do this, please describe how you will keep your pet secure while outside

_________________________________________________________________________

What would you do if the dog got lost?__________________________________

Where is the nearest animal shelter?______________________________________

Would you attend and complete a training class if required?_____________

What will you do if the dog marks in the house?___________________________

Will you buy a crate?_____________________If not, why?____________________

Do you know what bloat or torsion is?______________

Please explain in layman’s terms

_________________________________________________________________________

Explain malamute shedding(blowing coat)___________________________________________________________________

I AGREE to take the dog to the vet for preventive heartworm, examination, and vaccination boosters on a basis required by my vet. Yes____No____

I AGREE to administer heartworm prevention during mosquito season Yes____ No____

I am aware that SCAMP, Inc. will do an interview(phone or in-person) and reference check prior to adoption. We will also request a home visit before and/or after the adoption.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 ______

Please let us know any other information you feel is important regarding your family, malamutes, and adoption.

Mail completed application to: SCAMP,Inc.

                                                    P.O. Box 213

                                                    Lodi, WI 53555

_________________________________________________________________________ Signature of applicant and date

Welcome to the Tri-State Alaskan Malamute Club

Come Join our Team!