| What dog are you applying for? |
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| Will you allow a rescue member from
AMRNM visit your home? |
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| Name |
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| Address |
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| City, State, Zip |
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| Home Phone |
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| Cell Phone |
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| Work Phone |
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| Email Address |
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| |
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| Do you own or rent your home? |
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| If you rent, please provide your
landlord's name and phone number: |
Name:
Phone:
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| Family / Household Information |
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| What is your age? |
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| What is your occupation? |
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| What is your marital status? |
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| If married, please provide your
spouse's name: |
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| If married, what is your spouse's
age? |
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| What is your spouse's occupation? |
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| If married, does your spouse support
getting a malamute? |
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| Do you have any children? |
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| If yes, how many and what are their
ages? |
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| Are there any other adults living in
your household? |
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| If yes, what is/are their age? |
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| If yes, what is/are their occupation? |
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| |
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| Do you have a fenced yard? |
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| If yes, what type of fence? |
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| If yes, what is the height of your
fence at the lowest point? |
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| Where will this adopted dog stay
during the day? |
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| Where will this adopted dog stay
during the night? |
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| |
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| Current Pets |
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