Humane Society of Northwest Montana

Home of the Charlotte Edkins Animal Adoption Center

Fill out and submit adoption application below or download and print it here.

    Pet Name

    Contact Information

    (Applicants must be at least 18 years old; proof of identification required)

    Please be sure mailing address is accurate as this is where your adoption paperwork will be mailed.

    Would you like to receive email from the Humane Society of NW Montana?

    Adoption Information

    Is the pet you are applying for a:

    Have you owned a dog/cat previously?

    Have you adopted an animal from here before?

    If yes, what was the Pet’s name at the time of adoption?

    About Your Family

    Are there children in the household?

    Have your children lived with pets before?

    Does any member of your family have allergies to animals?

    Are there any dogs currently living in your home?

    If yes, please list their names:

    Are there any cats currently living in your home?

    If yes, please list their names:

    Are all the dogs and cats in your home current on their rabies vaccination?

    About Your Home

    Does your residence have a fenced yard?

    Do you own the property where you reside?

    If your residence is owned by someone other than yourself, verification for pets on the premises is required from the property owner(s)/landlord(s):

    If you rent your home, please provide either (1) a copy of your lease agreement, or (2) your Landlord’s name and phone number:

    If you live with friends or family, please provide either (1) a copy of their lease agreement, or (2) their name and phone number:

    I certify that the information I provided in this application is true and complete to the best of my knowledge. I authorize the Humane Society to verify all information I have supplied. I also give my consent for the release of information about my lease agreement and my pet’s rabies vaccination. I understand and agree that the Humane Society has complete discretion as to whether or not it will proceed with any adoption. Any untrue statements I make in this Application may result in refusal of adoption.

    I understand that clicking the "Submit" button below is equivalent to signing this application form.