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Dog Matchmaking Form

  1. golden

  2. Please list First and Last names.

  3. Are you 18 years or older?*

    Must be 18 years or older to adopt.

  4. If None please put N\A

  5. Type of Housing*

    Check all that apply

  6. Name & Phone Number

  7. Name & Phone Number

  8. Please provide a Vet Reference either past or present. Please Provide the Clinic, Phone Number and Account Holders Name. If None please Explain Why

  9. Adults Living in Household*

    Please select how many Men and Women Living in the Household.

  10. Please provide how many Boys and/or Girls and Ages of the Children in the HouseHold

  11. Is anyone in the household allergic to pets? Please explain if they are allergies or N/A if none.

  12. Is anyone in the household nervous or unsure or dogs. Please explain if they are and why or N/A in no.

  13. Do you have children in the neighborhood that visit? Please provide the ages.

  14. Please Provide Pet Type and Name

  15. Sex*

  16. Type of Animal*

  17. Spayed/Neutered*

  18. Where is the Pet Kept*

  19. Rabies*

    Current Rabies Vaccination

  20. County License - Dogs Only *

    Per Butte-Silver Bow Ordinance 6.04.292 and 6.04.150 all dogs and cats in BSB are required to have a current rabies vaccination, and all dogs residing in BSB are required to have a county dog license. In accordance with BSB ordinances the animal shelter will require proof that all current pets in your home are current on a rabies vaccination and that the dogs have a current county license. The shelter is happy to obtain this information for you, please be sure to list what veterinary clinic the vaccinations were given for each animal and the name on the account.

  21. Please Provide Pet Type and Name

  22. Sex

  23. Type of Animal*

  24. Spayed/Neutered

  25. Where is the Pet Kept

  26. Rabies

    Current Rabies Vaccination

  27. County License - Dogs Only

    Per Butte-Silver Bow Ordinance 6.04.292 and 6.04.150 all dogs and cats in BSB are required to have a current rabies vaccination, and all dogs residing in BSB are required to have a county dog license. In accordance with BSB ordinances the animal shelter will require proof that all current pets in your home are current on a rabies vaccination and that the dogs have a current county license. The shelter is happy to obtain this information for you, please be sure to list what veterinary clinic the vaccinations were given for each animal and the name on the account.

  28. If interested in doing a meet and greet with your current pet(s) and a shelter pet you may upload your current rabies certificate(s) here as this is required for the meet and greet!

  29. Please Provide Pet Type and Name

  30. Sex

  31. Type of Animal

  32. Spayed/ Neutered

  33. Where was the Pet Kept

  34. How long was this pet owned and what happened to it?

  35. Sex

  36. Type of Animal

  37. Spayed// Neutered

  38. Where was the Pet Kept

  39. How long was this pet owned and what happened to it?

  40. Why would you like to adopt this dog from Chelsea Bailey?

  41. What will you do with this dog when you move?

  42. What will you do with this dog when you leave town?

  43. If Traveling With Me this Dog Will be?*

  44. When I Relate to Dogs I Tend to be:*

    *Some dogs need a different level of leaders based on their past*

  45. Crate Training*

    Will you be Crate Training this Dog?

  46. If you returned home to find that the dog had chewed your favorite shoes or urinated on the floor what would you do?

  47. Who will be the primary care-taker of this dog?

  48. Other Applications*

    Have you been denied at another Animal Shelter?

  49. Your Household

  50. This is where some dogs will benefit from a crate situation, outside kennel or other resources such as doggie daycare.

  51. Time Away From Animal*

  52. Household Activity Level*

  53. Ability to Exercise the Dog:*

    *Some dogs do require to have more exercise than others based on age and/or breed.*

  54. Do You Have a Kennel Run?*

  55. Is it Covered?*

  56. Tie-Out*

    Do you plan on or have a tie-out or cable run for the dog?

  57. Hopes and Expectations

    Please fill this out tailored to your want for an animal - NOT for a specific animal. A lot of times this is used to try and match other animals to what applicants are looking for if a specific animal does not work out.

  58. Please put a name if there is an available animal you are looking at.

  59. Please describe the second animal here.

  60. Temperament *

    Check All That Apply

  61. Activity Level*

    Check All That Apply

  62. Like what kinds of other animals (Dog, Cat, Bird, Ferret, etc.)

  63. Training*

    Check All That Apply

  64. I Prefer: *

    Dog Energy Level

  65. I Prefer a Dog that:*

    Check All That Apply

  66. Reason for Wanting This Dog?*

  67. Be honest, we would like to know.

  68. Dog to Dog Intro, House-training, Crate-training, Identification, Vaccinations, Etc.)

  69. It sometimes takes a dog longer to adjust to a home that already has resident kids, dogs and cats. In some cases the new dog and other animals may never bond, only tolerate each other.

  70. RELEASE AND AGREEMENT

    I CERTIFY THAT THE INFORMATION I HAVE GIVEN IS TRUE, AND I AUTHORIZE THE CBBSB ANIMAL SHELTER TO CONTACT VETERINARIANS, LANDLORDS AND REFERENCES TO INVESTIGATE ALL STATEMENTS IN THIS APPLICATION, AND TO DO FOLLOW-UP PROPERTY CHECKS.

  71. Applications do take several to processes

    Please contact the animal shelter at 406-497-6528 with any further questions.

  72. Leave This Blank:

  73. This field is not part of the form submission.