ALASKAN MALAMUTE RESCUE of CALIFORNIA
                                                    5040 BARNARD STREET
                                                    SIMI VALLEY, CA 93063
                                                           (805) 583-8280

                                                                             APPLICATION

DATE:_________________________________

Thank you for your interest in our dogs. We would appreciate your answering the following questions so 
we can more accurately determine the right malamute for your family.  All information is confidential. When 
completed, please return it to the above address.  (If you fail to include your phone number, we will discard 
this application.) Your cooperation is appreciated.

YOUR NAME_________________________________________________________________________________
 
ADDRESS___________________________________________________________________________________

CITY_________________________________________STATE___________________ZIP___________________

HOW LONG AT PRESENT HOME? ________________________________________________________________

RENT?_____________________OWN?_________________OTHER?____________________________________

EXPLAIN____________________________________________________________________________________

PHONE NOS. /HOME:_____________________CELL:_________________________WORK___________________

EMAIL:______________________________________________________________________________________

FAMILY DATA:  

SINGLE?_______________________MARRIED?____________________HOW LONG?______________________

IF MARRIED, SPOUSE’S NAME______________________________________________________

DOES SPOUSE SUPPORT GETTING A MALAMUTE?_______________________________________

YOUR AGE                            NO. OF CHILDREN                                 AGES________________ 

OCCUPATION OF ADULTS IN HOUSEHOLD_____________________________________________

OTHERS IN HOUSEHOLD WHO WILL HAVE CONTACT WITH THE DOG______________________

_______________________________________________________________________________

WHY ARE YOU INTERESTED IN OBTAINING ONE OF OUR ALASKAN MALAMUTES?
_______________________________________________________________________________

WHAT QUALITIES DO YOU LIKE IN THE MALAMUTE?____________________________________ 

WHAT QUALITIES DO YOU DISLIKE IN THE MALAMUTE?__________________________________

HAVE YOU EVER OWNED A MALAMUTE?_______________________________________________

ARE YOU COMMITTED TO CARING FOR THIS DOG FOR ITS LIFETIME?______________________

WHERE WILL THE DOG STAY DURING THE DAY?                                    AT NIGHT?__________

ARE YOU INTERESTED IN A PUPPY?                                           OLDER DOG?________________

ACCEPTABLE AGE RANGE?                                                  MALE OR FEMALE?_______________

DO YOU HAVE A FENCED YARD?____________TYPE OF FENCING MATERIAL___________________  

PREVIOUSLY OWNED DOGS__________________________________________________________

WHERE ARE THOSE DOGS NOW?_____________________________________________________

DOGS CURRENTLY IN YOUR HOME (breed, sex, age)______________________________________

SPAYED/NEUTERED?________________________________________________________________

OTHER PETS CURRENTLY OWNED (cat, bird)____________________________________________

NAME OF YOUR VETERINARIAN                                                          PHONE NO._____________

HAVE YOU EVER RAISED A PUPPY BEFORE?_______________________________________________

WHAT BOOKS HAVE YOU READ ON DOG CARE AND TRAINING________________________________

DO YOU BELIEVE A DOG SHOULD ATTEND A FORMAL OBEDIENCE CLASS?______________________ EXPLAIN___________________________________________________________________________
HAVE YOU PREVIOUSLY PARTICIPATED IN AN OBEDIENCE CLASS? ____________________________
WHEN_____________________________________________________________________________
WHERE______________________ INSTRUCTOR’S NAME___________________________________
WHAT OTHER DOG BREEDS DO YOU LIKE?_______________________________________________
DO YOU OBJECT TO A RESCUE VOLUNTEER VISITING YOUR HOME BY APPOINTMENT?
_______________________________________________________________________________
HOW DID YOU HEAR ABOUT DOUBLE T KENNELS OR MALAMUTE RESCUE?____________________
PLEASE GIVE US SOME INSIGHT INTO YOUR EXPECTATIONS FOR THIS MALAMUTE AND
YOUR FAMILY:____________________________________________________________________
________________________________________________________________________________
ADDITIONAL INFORMATION TO ASSIST US IN ASSESSING YOUR SUITABILITY AS A MALAMUTE OWNER:_________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
SIGNATURE: ___________________________
DATE:_________________________________