Fix it in the Farmland Application
This program is a collaboration with PetFix Northeast Ohio to provide low cost spay/neuter services for owned pets. This program is able to assist with spay/neuter for inside pet cats and dogs under 70 pounds. If you have an outside community cat or barn cat, please apply for our Trap, Neuter, Return program.
Name
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First Name
Last Name
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County?
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Please Select
Geauga
Lake
Ashtabula
Trumbull
Portage
Summit
Mahoning
Other
Phone Number
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Please enter a valid phone number.
Email-If you do not have email type in ehawes@rescuevillage.org
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example@example.com
Are you or anyone in your household on any form of government assistance, such as social security, food stamps, disability, etc?
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Yes
No
If yes, what government assistance do you recieve?
Are you or anyone in your household considered low-income?
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Yes
No
How many pets do you need to have spayed/neutered?
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Pet's Name(s) *Please name all pets needing spayed/neutered*:
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Dog(s) or Cat(s)?
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Male(s) or Female(s)?
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Age(s)?
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Breed(s)?
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If unknown, write "unknown"
Pet's weight?
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Where did you originally get this pet?
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Has the pet ever been to the vet?
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Please Select
Yes
No
Is your pet up to date on their Rabies Vaccine? If yes, we will need you to provide a copy of their vaccine certificate during surgery check in (Invoices/receipts are not considered proof of Rabies vaccine). If your pet is not up to date, or you do not provide a copy of their certificate, they will receive a Rabies vaccine during surgery for an additional charge of $6. This is non-negotiable.
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Please Select
Yes, my pet is current on its Rabies vaccine, I will show a rabies certificate the morning of surgery
No, my pet will need a Rabies vaccine for an additional $6
Does your pet require any special handling at the vet, such as a muzzle or sedation?
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I understand that all dogs MUST be on a leash when arriving at the appointment
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I understand
N/A, I am not bringing a dog
I understand that cats MUST be in secure carriers upon arrival at the clinic.
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I understand
N/A, I am not bringing a cat
I understand that if my pet is showing any signs of illness, I must cancel my appointment and seek veterinary care for my pet.
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I understand
I agree to pay the full amount of my selected services at check out.
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I agree
How did you hear about the Fix it in the Farmland progam?
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Friend/Family member
RV's Website
PetFix's Website
Newspaper
At Tractor Supply
Other
I agree to check my e-mail, including spam/junk folders, for important communication regarding this application
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I agree and will check my email AND spam/junk folder
I do not have email and will require a phone call
Fix it in the Farmland is a unique outreach program launched by Rescue Village in 2008. This program enables Rescue Village to provide low-cost spay/neuter services to pet owners residing in the rural areas of Geauga County. I understand that on the day of surgery my pet will be transported from the drop-off location in Middlefield to PetFix's clinic in Euclid, where they will then be spayed/neutered, vaccinated, and then transported back to the Middlefield location for me to pick up later that afternoon.
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Submit
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