WON Dog Information Database
Our Nation is developing a community-led Spay/Neuter and Animal Control Program to keep both our community members and our four-legged relatives safe, healthy, and happy. Your answers are completely confidential and will help us bring the right veterinary resources, assistance, and support.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Mailing Address
Physical Address On Reserve (House / Lot No.)
City
State / Province
Postal / Zip Code
Do you currently care for any dogs at your home? If yes, please fill out this chart.
Rows
Animal Name
Breed / Color / Description
Sex
Age
Fixed? (Spayed of Neutered)
Has Rabies Vaccination
1
2
3
4
Do you have any outdoor or free-roaming dogs that you feed/ look after regular, even if they don't stay inside? If yes, how many?
If a free, community-funded vet clinic comes to the Nation, would you want your animals to receive services? (Check all that apply)
Yes, I want my animals Spayed or Neutered (Fixed to prevent accidental litters).
No, my animals are already fully vetted and fixed.
No, I am not interested at this time.
What are your main concerns regarding dogs roaming freely in our community? (Check all that apply):
Safety of children/elders walking around (Fear of dog bites or aggressive packs).
Loose dogs knocking over garbage or causing property damage.
Sick, injured, or hungry-looking dogs.
Barking/Noise at night.
I have no concerns; I am happy with how things are.
Other
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Do you have any additional comments about your dog(s) or this initiative?
Submit
Should be Empty: