Spay & Neuter Sponsorship Application
PLEASE FILL OUT THE ENTIRE APPLICATION AND ANSWER EACH QUESTION PROPERLY. WE CANNOT ASSIST YOU WITH INCOMPLETE APPLICATIONS.
Street Address Line 2
State / Province
Postal / Zip Code
List each pet you are requesting spay/neuter for. IF YOU DO NOT COMPLETE THE INFO BELOW - WE CANNOT ASSIST YOU! *Name, Cat/Dog, Age, Weight, Color, Sex, Breed
Rabies vaccines are required by law in GA and will be required at the time of surgery. Is your pet up to date with their rabies vaccine?
Are you currently working? Why are you requesting sponsorship and why is it important to you to receive it? Please be detailed.
All families will have a small co-pay towards the surgery and required rabies - the fee may be waived if you are a current part of our outreach program. How much can you contribute?
We can only provide sponsorship at one of our partnered clinics, which is closest to you?
Atlanta Humane - East Lake
Lifeline - College Park GA
Good Mews - Marietta GA (cats only) $25 co-pay required by clinic
Planned Pethood - Duluth GA
West GA SN Clinic - Douglasville GA $25 co-pay required by clinic
Jazzy Paws - Hampton GA
Do any of the following pertain to you?
Has your pet had any of these symptoms in the last 3 months or currently?
Bloody Stool or Urine
Lack of Appetite
Worms in stool
Do your pets live inside/outside, in a fence or tethered?
How did you hear about our organization?
Where did you get your pet from?
Upload photo of your pet(s)
To finalize your application you will need to forward proof of benefits, current ID, and photo of your pet(s) to firstname.lastname@example.org Applications will not be considered until received. Please sign below that your application is accurate & that you understand that we only provide sponsorship of the surgery, we are not responsible for any activity that takes place at the spay/neuter clinic.
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