• Application for Canine/Feline Spay/Neuter Assistance

    *Please complete all sections of this form
  • Section 1 - Personal Information

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  • Name, age, and relationship to applicant of all others residing in same household:

  • Section 2 - Current Pets

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    Pick a Date
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  • Section 3 - Animal in need of assistance

  • Section 4 - Financial Information 

  • What is your total Family Income? 

    You must provide proof of your total family income status by including a copy of your Notice of Assessment from your most recent Income Tax Statement. This information is essential to qualify for the Spay/Neuter Assistance Program and will be kept confidential. The tax will be destroyed after the application has been processed and the spay/neuter complete. All information provided is considered personal and confidential and will not be shared. Please BLACK OUT your Social Insurance Number (SIN) on the Notice of Assessment as this information is not required 

  • Please provide one reference that can be contacted

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  • Section 5

  • The purpose of the Second Chance Pet Network Spay/Neuter Assistance program is to subsidize the costs associated with examining and performing the Spay/Neuter surgery. If your application is accepted, you are responsible for pre-paying a non-refundable $75.00 fee to Second Chance, before the scheduled veterinary appointment. The client is responsible for delivering their pet to the veterinary clinic prior to surgery and collecting the animal after surgery is complete. If for some reason you cannot make your appointment and you do not cancel 24 hours prior, you will not be refunded your pre-payment. 

  • Section 6

  • Please use the signature box below to acknowledge that the foregoing information is true and correct to the best of your knowledge and that you have not omitted any information that would make your application false or misleading. 

    You will be notified once your application has been processed. 

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