ANIMAL REGISTRATION FORM FOR THERAPY AND COMPANION ANIMALS
ANIMAL USER/OWNER’S NAME: ______________________________________________
Phone number: (____)______-_________
Address:______________________________________________________________________
City:______________________________State:________________Zip:____________________
Animal’s Name:________________________________________________________________
Dog breed:____________________Color:______________________
If animal is registered (e.g. TDI, TD Inc., Delta-Society-Pet Partners, etc.) please list registering
organization and number:_________________________________________________________
_____________________________________________________________________________
To all visiting, therapy and companion animal user/owners:
Please read and sign the owner statement. If you’re visiting, therapy or companion animals fail to
conform to all standards listed in the statement; may not be allowed in a Montana State
University facility. We appreciate your cooperation.
I have read the above policy and owner statement:
________________________________________Signature
________________________________________Print name
________________________________________Date
