Annie Oakley Animal Rescue | Eastern Montana

Your Information

First Name *

Last Name *

Email *

Phone Number *

Street Address *

Street Address Line 2

City *

State *

Zip Code *

About the Animal

How did you hear about us? Which animal are you interested in? *

What made you decide you want to adopt a dog or cat? *

Your Living Situation

Type of dwelling (house, apartment, etc.) *

How long have you lived there? *

Do you rent or own? *

If you rent, are you ok with us contacting your landlord?

YesNoN/A — I own

Landlord name and phone number (if renting)

Do you have a secure fence? (Required for dogs)

YesNoNot adopting a dog

Pet History

Have you had animals before? *

YesNo

Have you ever had to give up an animal? *

YesNo

If yes, for what reason?

How many other pets do you currently have, and what are they? *

Is anyone in your household allergic to animals? *

YesNo

Is everyone in your household in agreement about adopting? *

YesNo

Care & Responsibility

Who will be responsible for training, feeding, and exercising the animal? *

If adopting a dog — will it ever be tied up outside? *

YesNoNot adopting a dog

Who is your veterinarian? *

Personal Reference (Non-Family)

Reference First Name *

Reference Last Name *

Reference Phone Number *

May we visit your home before and/or after adoption? *

YesNo

Agreements

Please read and check each statement:

I/we agree that if we adopt a dog or cat, we will provide professional veterinary care, a nutritious diet, and a loving home.I/we agree that we will return the dog or cat to Annie Oakley Animal Rescue if we can no longer keep it.No member of our household has ever been convicted of cruelty to animals.

Your Information

First Name *

Last Name *

Email *

Phone Number *

Street Address *

Street Address Line 2

City *

State *

Zip Code *

About the Animal

How did you hear about us? Which animal are you interested in? *

What made you decide you want to adopt a dog or cat? *

Your Living Situation

Type of dwelling (house, apartment, etc.) *

How long have you lived there? *

Do you rent or own? *

If you rent, are you ok with us contacting your landlord?

YesNoN/A — I own

Landlord name and phone number (if renting)

Do you have a secure fence? (Required for dogs)

YesNoNot adopting a dog

Pet History

Have you had animals before? *

YesNo

Have you ever had to give up an animal? *

YesNo

If yes, for what reason?

How many other pets do you currently have, and what are they? *

Is anyone in your household allergic to animals? *

YesNo

Is everyone in your household in agreement about adopting? *

YesNo

Care & Responsibility

Who will be responsible for training, feeding, and exercising the animal? *

If adopting a dog — will it ever be tied up outside? *

YesNoNot adopting a dog

Who is your veterinarian? *

Personal Reference (Non-Family)

Reference First Name *

Reference Last Name *

Reference Phone Number *

May we visit your home before and/or after adoption? *

YesNo

Agreements

Please read and check each statement:

Adoption Application

Your Information

About the Animal

Your Living Situation

Pet History

Care & Responsibility

Personal Reference (Non-Family)

Agreements

Adoption Application

Your Information

About the Animal

Your Living Situation

Pet History

Care & Responsibility

Personal Reference (Non-Family)

Agreements