Adoption Application Form:
First name:
Last Name:
Address line 1:
Address line 2:
City:
State:
Zip Code:
Home Phone#:
Work Phone #:
Best time to call:
Email address:
Family Data:
Spouse/Significant
other ?
Does spouse/significant other approve of getting this dog?
Your Age?
Children's ages (if
applicable)
Occupation of adults in family:
Applicant:
Spouse/Significant
other:
Others in household
who will have
contact with the
dog?
General information concerning the type of dog you are interested in:
Why are you interested in obtaining one of our Alaskan Malamutes?
What qualities do you like in the Malamute? Please be specific about type of personality you prefer.
What don't you want to find in a Malamute? List ANY qualities that would be a "deal breaker" and would not
allow you to keep a dog
Have you ever
owned a Malamute
before?
Where will the dog
stay during the day?
Where will the dog
stay during the
night?
Acceptable age
range:
Do you have a
gender
preference?:
Do you have a
fenced
yard? Type/Size?
What would you do
if your dog bit
someone?
Previously owned
dogs:
Where are they
now?
Dogs present at
home now, and vet
status
Are they
spayed/neutered?
Other pets currently
owned:
Name address,
phone number of
your veterinarian,
and one additional
reference:
Would you be willing to obedience train a dog that you received from IAMRA if it was recommended or
required as being in the best interests of the dog and you?
Would you be willing to allow a rescue member to visit your home by appointment?
How did you hear about the Illinois Alaskan Malamute Rescue Association?
Please add any other information you wish us to consider in placing one of our Malamutes with you. We
would appreciate it if you would give us some insight into the expectations you may have for this addition to
your family. Please be as specific as possible.
Note: If you do not hear from us within a week after submitting
your application, please email us at keysci@worldnet.att.net with
the words PENDING APPLICATION in the subject line. Include
your name, number, and date of application, and a volunteer will
get back to you right away
This form can be printed out and faxed to 847-259-0258 or mailed
to IAMRA 200 E Evergreen #103 Mt Prospect IL 60056
Adoptions are based on approval. IAMRA works very hard to
match the right dog with the right person/family. IAMRA reserves
the right to refuse adopters.