Pet Food Pantry Application Form

Our Pet Food Pantry is here to provide assitance during difficult times. The pet pantry program is intended to provide temporary help, NOT to supply pet food permantely. We are a donation-based program, resources are limited on a monthly basis. Our application can help feed up to 3 pets per husehold for up to a 6 month period, at which time a re-application may be required.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
How did you hear about us? *
Number of dogs in your household?
Number of cats in your household?
Please review and check each box for our guidelines.*

I am over the age of 18 years old and the owner of the animals above. only one account per household is accepted.I may only pick-up food once a month, or every 4 weeks, for up to 6-months.I understand that my pet(s) should not be used for breeding purposes or illegal acts. I also understand, it is encouraged that this food is not meant to feed stray animals.I understand that spaying/neutering my animal helps prevent unwanted litters, protect against some serious health problems and may reduce many behavioral problems. Paws 4 A Cause Pet Food Pantry can provide me resources regarding sterilization and behavior training if I am interested.Pet Food and supplies given to the owner above are for the purpose of helping keep pet(s) in their homes. Any reselling or trading these good may result in refusal or termination to participate in future pet pantry days.I understand that discriminating, disrespectful and otherwise abusive behavior will not be tolerated towards Paws 4 A Cause Pet Food Pantry Volunteers and staff.
If needed, I authorize this person to pick up pet food on my behalf. (Please include full name)
Consent

By submitting this form, you are acknowledging that you understand and agree to the terms and conditions.
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Pet Food Pantry Application Form
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Pet Food Pantry Application Form