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Second Chance Alaskan Malamute Program, Inc.

P.O. Box 213

Lodi, WI 53555

608-592-7338 Sarah

608-588-2565 Helen 920-261-1523 Kris

www.tsamc.org

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)___________________________________________________________________

EVERY RESCUE DOG IS SPAYED/NEUTERED BEFORE ADOPTION!

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 ______

I understand that referral dogs(ones who are still in the care of it’s owner/or shelter are NOT evaluated by SCAMP,Inc. and SCAMP,Inc. makes no guarantees regarding their description, temperament or behavior. 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

**SCAMP,Inc. malamutes are not for sale. We do not operate like a pet store. Not all applicants are right for malamutes and not all malamutes are right for adoption.

The Tri-State Alaskan Malamute team needs your help.  Please let us know what talents, resources, time, etc that you may be able to contribute.  If we all work together we can continue to host the type of events you have come to expect from TSAMC.