Arctic Rescue - ARSW Adoption Application

Thank you for your interest in adopting a rescue dog! Please fill out the adoption application below.

This is the application for ARCTIC RESCUE SOUTHWEST, based in RANDLEMAN NC.

Our adoption process begins with you filling out our adoption application. Based on this baseline information and additional conversations with you about what you are looking for in a dog, we will help match you with the perfect dog.

You can expect to hear back from us in three business days regarding your application. We will notify you of any questions we may have and work with you to find a time to conduct a home visit.

We want to make sure that your home is the perfect fit for one of our dogs and vice versa. We want all members of the family to be happy and well matched with each-other.

Our adoption process typically takes about a week, although we do try to work with people wanting to adopt a dog faster, or families who want to take their time finding the perfect family member!

We ask for a minimum adoption donation of $250 for adult dogs (altered dogs over 5 months of age) and $325 for puppies (younger than 5 months and unaltered) and $175 for our special needs or senior dogs (dogs over 10 years of age).

Please e-mail any questions to .

Contact Information

Your Full Name(*)

Provide your full name

Your Email(*)

Please let us know your email address.

Address(*)

Please write a subject for your message.

City(*)

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State(*)

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Zip Code(*)

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Cell Phone(*)

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Work Phone

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Home Phone

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Place of Employment

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What is your age range?(*)

Adoption Interest

What dog breed are you most interested in adopting? Check all that apply.

Alaskan Malamute

Siberian Husky

Alaskan Husky

Other/Mix

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Why are you interested in adopting the breed(s) selected above?

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What are you looking for in a pet?(*)

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General Information

How many people including yourself live in your household and what are all of their ages? This includes family and housemates, (if this will be changing within the next 6 months to a year, please state that in your answer).

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Who will be the primary care giver for the adopted dog?

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Is everyone else in your household aware of your intention to adopt a dog (specifically a northern breed)?

Yes

No

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If no, please explain.

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Do grandchildren, nieces/nephews or other children visit?

Yes

No

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If yes, how often do they visit?

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For households with and without children: Please list your philosophy on monitoring interactions between children and animals, and your philosophy on teaching both children and animals on how to interact appropriately. Please be as detailed as possible on how you plan to ensure safety of both the dog and the child:(*)

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What activities do you plan to do with the adopted dog?(*)

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How many hours per week will you spend exercising the dog?(*)

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Is the dog intended as a gift?(*)

Yes

No

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If yes, please explain:

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Will the dog ever be off leash?(*)

Yes

No

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If yes, please explain why and which circumstances you plan to have your adopted dog off-leash.

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Please describe the training and discipline methods you intend on using with your adopted dog.(*)

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How many dogs have you owned (if any)? Please tell us about them!

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Do you currently own any pets?(*)

Yes

No

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Please list the types of pets you currently own:

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How do you plan to introduce the adopted dog to other animals in your home?

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How do you plan to handle introductions of the new dog with any other dogs that you may come in contact with outside of your home?

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Do you understand that Northern Breeds in general have a strong prey drive and although some may be good with cats, there is no guarantee that they will be dependably so?(*)

Yes

No

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Are all of your current pets spayed or neutered?(*)

Yes

No

N/A

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If no, please explain:

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Are your pets current on their vaccinations?(*)

Yes

No

N/A

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What will you do with the dog if you leave for a weekend or go on vacation?

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What will you do with the dog if you have to move?

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Have you ever re-homed, given up, or lost a pet owned by you?(*)

Yes

No

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If yes, please explain:

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Where will the dog be kept when left unattended?(*)

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How many hours per day will the dog be left unattended?(*)

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Where will the dog sleep at night?(*)

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Do you have a fenced yard?(*)

Yes

No

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If yes, please indicate type and height:

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Do you own your home?(*)

Yes

No

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Do you plan on moving within the next 6 months?(*)

Yes

No

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If no does your landlord approve of you having a pet on the property?

Yes

No

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Landlord's Name

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Landlord's Contact Info

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(E-mail address preferred)

Do you own a crate?

Yes

No

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If no, are you willing to purchase one for the dog?

Yes

No

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Are you willing to provide an identifying name tag including your phone number within 48 hrs of acquiring the dog?(*)

Yes

No

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Veterinarian Information

Veterinarian Name

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Vet Address (street, city, state, zip)

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Vet's Email

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Vet Phone

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Vet's Website

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References (please list 3)

Because our organization is strictly run by volunteers who also work full time jobs, email is our preferred method of contact. Please provide email addresses for your references so we can expedite the process.

Reference 1 Name and Relationship

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Reference 1 Email(*)

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Reference 2 Name and Relationship

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Reference 2 Email(*)

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Reference 3 Name and Relationship

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Reference 3 Email(*)

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Are you a robot?(*)

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