Are you open to all your dog's being altered YES/NO ________

Is your dog micro chipped? YES/NO _______

I understand that the photo I supplied Nothing But Love Canine Foundation of my dogmight be used for marketing purposes.

I understand that Nothing but Love Canine Foundation and participating veterinary clinics are not responsible for any additional costs associated with the surgery on my animal.

I will be responsible for additional costs but will be consulted by the veterinarian before additional services are performed for my pet.

I understand that once my appointment is scheduled, if I fail to take my pet to the agreed-on meeting place on the day and time agreed upon, my application can be cancelled.

If you have an emergency or see you cannot take your pet on the day assigned, please contact us as soon as possible.

I agree the participating veterinary clinic and Nothing but Love Canine Foundation will not be liable for complications or health issues from the surgery. Any other medical care the dog receives except for spay/neuter will be the responsibility of the owner.

I understand completing this application does not guarantee funding but that I will be entered into a lottery for services.

I will comply with the rules as outlined in this agreement. If your dog is pregnant or in heat let us know. There will be an extra fee.

Please submit this application along with a photo of your dog to: nblcfsponsors@yahoo.com

Failure to compete all components (including photo) will result in your application not being processed*