Pet Food Pantry & More

Pet Food Pantry & More

PLEASE NOTE: We cannot guarantee that we will have specific dietary restriction food or a particular brand of food available. We do NOT have food/supplies for large animals.
Date *

Month Day Year
Date
Name *

First Name Last Name
Address *

Street Address

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email
example@example.com
If someone is picking up food for you, we MUST have that person's information. We will check identification at time of pick up.
Person picking up for me

First Name Last Name
Phone Number

Area Code Phone Number
Type of pet *

Cat Dog
How many *
Type of pet

Cat Dog
How many
TERMS OF AGREEMENT: Checking the boxes below serves as my signed agreement to and understanding of all of the requirements and statements as indicated in Gregory’s Gift of Hope’s Pet Food Pantry & More program guidelines. *

I understand that the Pet Food Pantry is NOT a long term but a temporary solution to provide food for my pet(s). My pet(s) are part of my family with inside shelter and maintained in a healthy environment and living conditions. I agree that all pets receiving aid are for personal companionship and not breeding, profit or sport. I agree to NOT take on any additional animals while receiving assistance. I agree that I am picking up for my household and not for anyone not living in my household. I understand that all food is donated so quantity and brand is subject to change and the amount and brand I receive could change depending on supply on hand. Occasionally, food may be near/past the expiration date, or in opened or secondary containers (such as plastic bags). This food is still suitable for consumption to the best of our knowledge. I understand the food provided is limited to what is donated and may not be my pet’s current brand and that the Pet Food Pantry cannot accommodate special diets. I understand that all pet food and supplies are donated and may not be the current brand I use to feed my pet(s), which may upset my pet’s stomach. I agree that Gregory's Gift of Hope will not be held responsible or pay for vet visits if my pet becomes ill. I agree not to resell, redistribute or attempt to return to a store, any food or care items received from Gregory's Gift of Hope Rescue's Pet Food Pantry. All the information I provided is true. I agree to release, indemnify and hold harmless, Gregory's Gift of Hope Rescue, its directors, agents and employees from and against any and all loss, damage, claims, liability, costs and expense, of any nature whatsoever, including without limitations, medical/veterinary expenses, attorney’s fee and disbursements, arising out of or related to the services, food, and products provided.
Signature *

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