Desexing Program Application
To apply for assistance in desexing up to 2 cats per household, please complete all questions. Term and conditions apply. Valid until funding limit reached.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Postal / Zip Code
Mobile Number
*
-
Area Code
Phone Number
Vet Location of Choice
*
Please Select
Cranbourne
Inverloch
Pakenham
Warragul
Yarram
Cats Gender
*
Please Select
Female
Male
Cats Age
*
Cats Gender
*
Please Select
Male
Female
NA
Cats Age (or NA if only 1 cat)
*
Concession Card Type
*
Please Select
Health care card
Pension card (senior or parenting)
DVA (Veterans card)
Upload copy of your valid concession card including name and expiry
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Date of Signature
*
-
Month
-
Day
Year
Date
Signature
*
By signing this application, you recognise that every surgical procedure carries a risk. South Gippsland Animal Aid or the chosen vet can not be held liable for any complications your cat may have while under the care of the chosen vet clinic. Any subsequent treatment or medications your cat may need as a result of this desexing procedure will not be covered by South Gippsland Animal Aid or the chosen vet.
Apply for Desexing Program
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