Pet Food Bank Assistance Form
We know life happens and we are here to help.
When available, we are proud to assist pet owners in need on our Nation by providing food, collars, leashes, and other goodies when they are donated. This program is ran entirely by donations, which means what we have available is always different. In order to make things fair we have created the form below to ask for assistance. We do not have the ability to assist with long term needs, however we understand life throws curve balls and we are here to assist for those times. Certain households may be disqualified from this program for the following reasons: breeding, numerous accidental unwanted litters due to not spaying/neutering, verbal abuse to staff, false information provided or asking for assistance when not needed
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I am a:
*
Band Member living on reserve
Band Member living off reserve
Community Member living or working on reserve
Not a member of Enoch Cree Nation
Marital Status
*
Divorced
Married
Single
Widowed
Employment status
*
Disabled
Full Time
Part Time
Unemployed
Retired
Social Assistance Program (ei, etc)
If employed, how much is your monthly income? ($)
*
If unemployed, type 'None'
How many pets reside your household?
*
Please list all pets residing in the household, their ages, species, breed if dog, and if they are spayed/neutered:
*
Example: Spike, 4yr shepherd, neutered
If any pets in your household are not spayed/neutered, why are they not?
Example: I would like to but cannot afford the cost
How long do you require pet food assistance for?
*
Example: only need help until payday, one time assistance due to personal hardship, etc
What do your pets need?
*
Dry Dog Food
Wet Dog Food
Dry Cat Food
Wet Cat Food
Leash
Collar
Microchip
Treats
Other
Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: