Dog Spay / Neuter Application

Low Cost Dog Spay/Neuter Application

A separate form must be completed for each animal if you have more than one.
Income: Do you currently earn less than $30,000 annually? Proof will be required.*

Yes - Please continueNo - You don't qualify for our program
Service Area

Our current area we cover is Ocean Shores, North to Moclips, and East to Humptulips. We are working to expand our service are throughout the county. As we get additional veterinarians to work with us the program will open up to other areas. Please keep an eye on our Facebook or website for updates.
Do you live in our service area?*

Yes - Please continueNo - You don't qualify for our program
Today's Date*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Dog's Name*
Gender*

MaleFemale
Breed*
Color*
Age*
Weight*
If female - is your dog currently:*

In heatPregnantNeither
Is your dog currently up to date on vaccinations?

YesNo - I'd like to have my dog vaccinated
If you state that your dog is vaccinated please list who administered them and the date they were given.
Is there anything else we need to know about your dog?
I have answered all the questions above truthfully and to the best of my knowledge. North Beach PAWS has the right to deny this application if any answer is found to be untruthful or purposefully misleading. I am the lawful owner of the above listed animal.Initial Here*
Signature*

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You will be notified after your application has been reviewed. At that time we will be requesting proof of income.

There is currently a waiting llist for surgeries. You will be added to that list once income verification has been complete.

If you have questions or concerns please call 360-660-4661 or send an email to doghousenbpaws@gmail.com.
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Low Cost Dog Spay/Neuter Application

Service Area