Pet Food Pantry Application

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

County?*

Phone Number*

Please enter a valid phone number.

Email-If you don't have email type in intake@rescuevillage.org*

example@example.com

How many dogs do you own?*

How many cats do you own?*

Are your pets spayed/neutered?*

YesNoOther

This program is intended to TEMPORARILY supplement your monthly supply of pet food, not be a permanent sole source of food for your pet(s). We will provide you with enough food to feed your pet(s) for one month based on their weights.*

I understand this is a temporary supplement of foodI do not agree and will go elsewhere

Items received through this program cannot be sold. We retain the right to refuse service if we suspect that pet food is not being used for it's intended purpose of helping you feed your pets temporarily.*

I understand and agreeI don't agree and will go elsewhere

I understand that anyone using this pet food for feral/outdoor cats must be actively participating in a TNR (Trap/Neuter/Return) program if the cats are not already spayed/neutered.*

I understandI do not agree and will go elsewhereI am not feeding feral/outdoor cats

I understand that this pet food pantry is donation driven, meaning there may be times where we do not have enough pet food to meet your needs. We also cannot guarantee that you will have a choice of brands to choose from.*

I understand and agreeI do not agree and will go elsewhere

By signing below, I understand that cat and dog food is available on a first come, first served basis. Proof of eligibility is NOT required, nor do you have to be a county resident to receive assistance. Our pantry ONLY provides dry dog and cat food. Any other supplies (such as cat litter) would only be available as donated to the pantry. We do not have prescription food available. Rescue Village reserves the right to deny any person we feel is abusing this program at any time.*