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2. Please file this form for adoption and or release of animal to owner.
4. Type of animal:

   1. Canine
   2. Feline
   3. Other
6. Adoption/Release Date:
8. Animal Control ID Number:
10. Identification Tag Number:

    1. Male $1.50
    2. Female $1.50
    3. Unspayed Female $3.00

    (Six months or older)
14. Boarding Fee

    1. $40.00 (without vaccination proof)
    2. $30.00 (with vaccination proof)
16. Billing:

    1. City Hall (111 S. Cherokee Avenue)
    2. PFL (email or fax)
18. Balance due:
20. Animal Control Signature and Date:
22. Name of Pet Owner:
24. Address
26. City
27. State
28. Zip Code
30. Phone number:
32. Description of pet
34. If you would like to become a Pets for Life Client, please call Rhonda Norris (918) 323-1780 or email your request to tahlequahpfl@gmail.com.
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field