Cat Neuter Clinic Registration
Fill out the following application to participate in our next low-cost neuter clinic (date and location undetermined) We will contact you once we have a clinic scheduled and give you priority if you qualify.
Referral Code
If you have a referral code, please enter it above. If not, please leave blank.
Your Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
This neuter clinic is specifically being held for people who fall below the median income in Kittitas County and may need assistance. Please indicate your gross annual household income below (keep in mind we may ask for proof of your income at any time):
*
Less than $35,000
Between $35,001 and $67,000
More than $67,000
Cat's Name
*
We will only be neutering male cats during this clinic. Please confirm that to the best of your knowledge, this cat is male:
*
I CONFIRM THIS CAT IS MALE
I AM UNCERTAIN OF THE SEX OF THIS CAT
THIS CAT IS FEMALE
Approximate Age of cat
*
Description of cat (color, coat length, identifying marks)
*
Is this cat in good health overall?
*
Yes
I don't know
This cat seems sick or injured
Is this cat owned by you?
*
Please Select
YES
NO
Is this cat a pet (tame), or a feral (wild)?
*
Please Select
PET (TAME)
FERAL (WILD)
I confirm that I am unable to afford altering my cat and would like to participate in an upcoming low-cost neuter clinic. I also confirm that I have filled out the information on this form accurately and to the best of my knowledge. This does not confirm an appointment, as each application will be reviewed based on need. Appointments will be confirmed by e-mail and must be paid for in advance after confirmation
*
Submit
Submit
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