Petrie Foundation Pitbull Voucher Inquiry

Before completing this form, please understand the following:

• ONLY pit-bull type dogs are eligible for this program. This includes American Pit Bull Terriers, Pit Bull mixes, American Staffordshire Terriers, Staffordshire Bull Terriers, American Bulldogs and American Bullies. You are required to upload a picture of your pet below. SNVC reserves the right to deny any dog if we feel that they do not qualify as being a "pit-bull type" dog or if the dog that shows up for surgery does not match the picture that you uploaded
• Puppies must be 12 weeks old and weight at least 2 lbs on the date of surgery
• If your dog has had a litter of puppies, she must be at least 12 weeks post partum by the date of surgery
• The grant covers the cost of surgery, post-op pain medications, and a e-collar. Other services (distemper/parvo vaccines, heartworm prevention, flea/tick prevention, etc) are available for purchase.
• This grant does not cover a rabies vaccine. If your pet does not have a current rabies vaccine, you will be charged an additional $15 for your pet to recieve it at the time of surgery
• Limit of 2 pets per household, each dogs needs his/her own form to be submitted
• Filling out this form DOES NOT guarantee that your dog will be selected. We will contact both those who were selected and those who were not selected, so please check your email.  You will not receive a phone call, so it is important to check your email and text messages. If you are selected, you will receive instructions on how to pay the $50 copay. This must be paid within 72 hours of receiving it to secure your pet's appointment. If you are not selected, you will be on the waitlist in case any slots become available. You also have the option to schedule an appointment at the normal price via our website if you are not selected. 
• Your pet may be photographed for this event

We are located at:

2709 Bragg Blvd, Fayetteville, NC 28303

Owner Information

Services Related Questions

Surgical Consent: Please read and sign below:

I, acting as owner or agent of the pet named above, hereby request and authorize SNVC to perform an operation for sexual sterilization of the animal named above.

• I understand that any anesthetic/surgical procedure, including surgical sexual sterilization, presents a degree of risk to the patient and, though minimal, may result in injury or death.
• I certify that my animal is in good health and not on any medications other than those disclosed.
• I understand the inherent risks of failing to maintain current vaccinations and waive all claims arising out of or connected with the performance of this operation or due to such failure.
• I understand that some factors significantly increase surgical risk, including but not limited to; pregnancy, being in heat, recently post-partum, obese, brachycephalic or over 7 years in age, having a heart murmur and diseases such as Feline Immunodeficiency Virus (FIV), Feline Leukemia, and heartworm disease.
• I understand that blood work and/or veterinary diagnostic prior to surgery is recommended for all high risk pets.
• I understand that if my pet has a pre-existing medical condition, clinical or subclinical, this condition may be worsened by anesthesia and/or surgical sterilization.
• I understand that if my animal is pregnant, the pregnancy will be terminated at surgery.
• I understand that SNVC has the right to refuse service to any animal determined to be ill or at increased risk. Sick animals are at higher risk for anesthetic and surgical complications, as well as pose a risk to other animals in the clinic.
• I understand that SNVC may not perform a complete physical examination before surgery is performed. I also understand that my animal will not receive pre-operative blood work unless requested and waive my right to have this service performed prior to surgery.
• I understand that if there are complications my pet may need to receive post-operative monitoring or care at an emergency clinic and I accept the financial responsibility for that care if deemed necessary by the veterinarian.
• I understand that my animal should have no food after 12:00 midnight the evening prior to surgery (excluding pets less than 4 months old).
• I understand that if my animal has an open umbilical hernia, it may be repaired at time of surgery for an additional fee.
• I understand that if my male animal is a cryptorchid there will be an additional fee for surgery.
• I understand that photographs may be taken during the day, and my pet may be present in those photos. I understand that the photographs taken at SNVC may be used for promotions and advertisements for SNVC. This includes but is not limited to Facebook, Twitter, SNVC website, advertisements, etc.
• I understand that if I do not retrieve my pet at the agreed upon time, SNVC may exercise their right to turn the animal over to the nearest animal control center, humane society, or dispose of as deemed just and proper as allowed by the State of North Carolina under G.S. 90-187.7(a). Owners of pets left after closing at 5pm will be charged a 25.00 per half hour late fee. Owners dropping Pets off past the intake time of 8:00am will be charged a 25.00 late drop off fee and may be turned away for surgery and asked to reschedule.
• I understand that payment in full is required prior to services being rendered.
• I agree to allow SNVC to run any Credit Card(s) on file to cover any remaining balance due. Payments may be processed after the day of surgery.
• I understand that under no circumstances will the Spay Neuter Veterinary Clinic pay for services received at another veterinary clinic, whether the services are related to a surgery done at the Spay Neuter Veterinary Clinic or not.
• I understand that there will be a small permanent green line tattoo next to the incision indicating sterilization.
• I understand that my animal may receive a nail trim and occasionally nails are quicked in the process.
  
• I understand that my animal's fur will be shaved to ensure sterility during the surgical procedure.
• I understand that if the Clinic has any questions regarding your pet or there is reason for concern or increased risk with surgery noticed prior or during surgery, the clinic will attempt to reach the owner at the numbers left at check in. IF THE OWNER IS NOT REACHABLE BY 10AM DAY OF SURGERY I UNDERSTAND THAT SURGERY MAY NOT BE DONE ON MY ANIMAL and you may need to reschedule your appointment
• I hereby release the Spay Neuter Veterinary Clinic of the Sandhills, all veterinarians, assistants, volunteers, directors, and employees from any and all claims arising out of or connected with the performance of this procedure or any adverse reactions from vaccinations. I agree that I have not and will not claim any right of compensation from any of the above, or file action by reason of such sterilization or attempted sterilization of such animal or any consequences related thereto. Owner/agent hereby agrees to hold SNVC unaccountable for any damages caused during the transportation of the animal, or for any damages caused by any unforeseeable events including fire, vandalism, burglary, extreme weather, natural disasters or acts of God.