Pre-Adoption Interest Form

By filling out the form below, you certify that the information is true and understand that false information may result in nullifying your adoption request. Missoula Animal Control reserves the right to deny or refuse to adopt a pet to anyone.

Today's date *

Name of pet you are interested in adopting: *

Name and species

Your name *

Your date of birth *

Your street address *

Your mailing address

If different than your street address.

Your phone number *

Email address *

Place of employment and contact information *

Briefly explain why you would like to adopt this pet: *

Do you live in... *

House

Townhouse

Condo

Mobile Home

Apartment

Name of your landlord and contact information *

If you live in a mobile home park or apartment complex, please provide the name:

For whom are you adopting this pet? *

Myself

My child

A family member

A gift

Will this pet be around children frequently? *

Yes

If the above answer is yes, what age(s) are the children? *

If the above answer is no, write "N/A" in this box.

Does anyone in your household or family suffer from pet allergies? *

Yes

If this application is for a cat, are you considering having the cat declawed? *

Yes

I am applying to adopt an animal that is not a cat.

What will happen to this animal if you move? *

Do you understand the time, care and financial commitment you are making to this animal? *

How much money do you plan on spending on your pet in the next year? *

If this application is for a dog, will the dog ever be transported in the back of an open pickup? *

Yes

I am applying to adopt an animal that is not a dog.

Do you have a veterinarian for your pet(s)? *

Yes

What is the name of the vet clinic? *

Where will this animal primarily live? *

Indoors

Outdoors

If living outdoors, what type of enclosed shelter will be provided? *

If the pet will be living indoors, write "N/A" in this box.

What pets do you currently own? How many? *

If you have dogs, are they licensed? *

This is not the same as a rabies vaccine. If you only own cats, write "N/A" in this box.

If you are planning to adopt a dog, how do you plan to keep it confined? *

If this application is for a cat, write "N/A" in this box.

Do you have a fenced yard? If so, how high is the fence? *

Are you a university student? If so, what are the permanent living arrangements for this pet? *

Consent for storing submitted data *

Yes, I give permission to store and process my data

Prove you are a real person! *

Pre-Adoption Interest Form

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