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Animal Control
(406)541-7387
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Missoula County - Animal Control

Department: Animal Control
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Missoula Animal Control

To use the form below, print this page, fill in the form and either walk this in to our office or mail it to us at the address provided on our contact page.  If you request this form in another format, please call our office at 406-541-7387.

Missoula Animal Control Dog Adoption
Questionnaire

 
                         
DATE ___________   Impound Number ____________  Dog Name _____________

PERSONAL INFORMATION:

Name:_____________________________________  Home Phone:_______________

Address:______________________________________________________________

City:__________________________________  State:_____  ZIP:____________

How long at this address?__________  If less than 2 years, please list

  your previous address:______________________________________________

Married:_____    Single:____   Live with parents:______   Age:________

No. of children in the home:_________  Ages:__________________________

Name of employer:_______________________________  Phone:______________

Name of spouses employer:_______________________  Phone:______________

Does anyone in your family suffer from allergies? ____________________

Have you adopted from the Missoula Animal Control before?____

RESIDENTIAL INFORMATION:

RESIDENCE:   House:____  Apartment:____  Condo:____  Mobile Home:____

Landlord's name:________________________________  Phone:______________

Besides your immediate family, are there others residing in your home?

  Yes:____  No:____  If yes, who?_____________________________________

Does your home have a yard?____  Is there a fence?____  Type of fence

and how tall?_________________________________________________________

If the yard is fenced, when the gate is closed, will the dog be

completely enclosed? _________________________________________________

ADOPTION INFORMATION:

Have you ever owned a dog?____________________________________________

What is the longest period of time the dog will be left alone?________

Where will the dog be kept during this time?__________________________

If kept outside, will there be a dog run/dog house?___________________

Will you take your dog to obedience classes, if needed?_______________