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Animal Adoption

Please correct the field(s) marked in red below:

1
Adoptable Animal's Name
 *
2
Your Name
 *
3
Date of Birth (of Applicant)
 *
4
Physical Address
 *
5
Mailing Address
 *
6
Phone Number
 *
7
Email Address
 *
8
Place of Employment and Phone Number
 *
Place of Employment and Phone Number
9
Are you a student at the University of Montana?
 *
Are you a student at the University of Montana?
10
Briefly describe why you would like to adopt this pet:
 *
11
Do you live in a:
 *
Do you live in a:
12
Do you:
 *
Do you:
13
For whom are you adopting this pet?
 *
For whom are you adopting this pet?
14
Will this animal be in the presence of children frequently?
 *
Will this animal be in the presence of children frequently?
15
Does anyone in your family suffer from allergies? (Details)
 *
Does anyone in your family suffer from allergies? (Details)
16
What will happen to this animal if you move?
 *
17
How much money do you plan on spending on your pet in the next year?
 *
18
Do you have a Veterinarian (Vet) for your pet?
 *
Do you have a Veterinarian (Vet) for your pet?
19
Where will this animal primarily be?
 *
Where will this animal primarily be?
20
Type of enclosed shelter provided:
 *
21
Do you currently own any of the following?
 *
Do you currently own any of the following?
22
Are your dogs licensed in Missoula County? (Not the same as a rabies vaccine?)
 *
23
Will your dog ever be transported in the back of open pickup?
 *
Will your dog ever be transported in the back of open pickup?
24
If this application if for a cat, are your considering having your new cat declawed?
 *
If this application if for a cat, are your considering having your new cat declawed?
25
When outside, how do you plan to keep the animal confined? (If by fence, how high is the fence?)
 *
26
Please check the following boxes after you have read and agree to the terms of each statement below:
 *
Please check the following boxes after you have read and agree to the terms of each statement below:
MISSOULA COUNTY ANIMAL CONTROL RESERVES THE RIGHT TO REFUSE ANY ADOPTION.
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