DLA Pet Food Pantry Enrollment Form

🚨 IMPORTANT — PLEASE READ BEFORE SUBMITTING 🚨
Please fill out the information below to determine your eligibility for our Pet Food Pantry.

All participants MUST be approved before attending the Pet Food Pantry. Walk-ins are not accepted.

Enrollment Requirements

Enrollment forms and spay/neuter records must be received by the 15th of the month to participate in that month’s pantry.
Forms received after the 15th may not be processed in time.
After submitting this form, email spay/neuter records for all pets you are enrolling to: DelcoLovesAnimals@gmail.com

Spay/Neuter Documentation Requirements

All records must be legible, printable, and must include:

Owner’s Name
Owner’s Address
Pet’s Name
Clear confirmation that the pet is Spayed or Neutered

We cannot review any enrollment without complete spay/neuter documentation.

If your pets or the strays/ferals you care for are not yet spayed/neutered, we will accept a copy of a scheduled appointment. Once the procedure is completed, you must send the updated records.

If you need help finding low or no cost spay/neuter services, please let us know.
(We cannot guarantee availability.)

Pet Eligibility Requirements

Cats must be indoor cats, unless they are outdoor strays/ferals you feed.
Dogs must not live outdoors.

Approval Process

Once we receive complete and satisfactory documentation, we will email you with an approval notice.
We will not contact you if records are missing, incomplete, or not received.
You must present valid photo ID at each Pet Food Pantry distribution you attend.

I have read DLA’s Mission Statement and the IMPORTANT information above. I understand that if my pets are not spayed or neutered, I must have them spayed/neutered within two months of enrolling in the Pet Food Pantry, and I must provide proof of the scheduled appointment before the next pantry date. I understand that failure to do so will make me ineligible to participate.I agree to notify DLA if I adopt any new indoor pets or begin caring for any new outdoor pets. I will email DelcoLovesAnimals@gmail.com with this information, and I agree to complete a new enrollment form to include the new animals. I understand that DLA will provide the link to the enrollment form once they receive my email.If any of the pets I care for pass away, I agree to notify DLA by email as well.*

I agreeI DO NOT agree

Full Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Name, email address and phone number of individual you authorize to pick up for you (this is required if you plan to have someone pick up for you).

Number of pets that are yours?*

Number of OUTDOOR stray cats you feed outside (not including ferals)? Put 0 if none.*

Number of feral cats in the colony you feed/care for outside? Put 0 if none.*

Types of pets you have*

DogCatOther (please explain in Additional Comments section below)

Please name all of your pets (do not include outdoor cats you care for), specify for each one whether they are a CAT or a DOG and state SPAY (female) or NEUTER (male). Example: 1. Fluffy - Cat - Spayed 2. Milo - Cat - Not Neutered*

If you have names for the outdoor cats you care for (strays and/or feral cats), please write the names of those you're enrolling in our Pet Food Pantry? If any are not named, please write, "no name."*

What is your relationship to these pets? Please check all that appy.*

Are your pets spayed or neutered? This includes dogs, indoor/outdoor/feral/colony cats.*

Yes. I have emailed spay/neuter records to DelcoLovesAnimals@gmail.com before submitting this form (please take a moment now and email spay/neuter records before proceeding).Yes, however I cannot locate the spay/neuter records. Before proceeding, I will contact the clinic or veterinarian's office for a copy of the records. I will either have the office send the records directly to DelcoLovesAnimals@gmail.com or I will email them.No. Before proceeding I will schedule an appointment for spay/neuter and email the confirmation DelcoLovesAnimals@gmail.com, and complete and submit this form. I understand I have 3 months to get my pet(s) spayed/neutered and can participate for the next two Pet Food Pantries. I will provide records by the third Pet Food Pantry otherwise I understand I will not be eligible.No. I DO need help finding low-cost or no-cost spay/neuter for my pets. Before proceeding, I will email DelcoLovesAnimals@gmail.com to inquire. Once I have an appointment scheduled I will complete and submit this form and email proof of the appointment to DelcoLovesAnimals@gmail.com. I understand I have 3 months to get my pet(s) spayed/neutered and can participate for the next two Pet Food Pantries. I will provide records by the third Pet Food Pantry otherwise I understand I will not be eligible. I agree to provide proof of the spay/neuter appointment before the next Pet Food Pantry and spay/neuter records within 3 months of being accepted in the Pet Food Pantry program.No. I DO NOT need help finding low-cost or no-cost spay/neuter for my pets. Before I proceed, I will schedule an appointment for spay/neuter and will complete and submit this form, and email the confirmation of the appointment to DelcoLovesAnimals@gmail.com. I understand I have 3 months to get my pet(s) spayed/neutered and can participate for the next two Pet Food Pantries. I will provide records by the third Pet Food Pantry otherwise I understand I will not be eligible. I agree to provide proof of the spay/neuter appointment before the next Pet Food Pantry and spay/neuter records within 3 months of being accepted in the Pet Food Pantry program.

What is your primary reason for seeking assistance?*

I understand that I must provide proof of my Delaware County, PA residency.*

Yes

I understand that I may receive food for each of my pets only once per calendar month and that it is my responsibility to pick up food at one of the Pet Food Pantry's designated dates and times. I understand that the Pet Food Pantry only provides supplement pet food and supplies and that Delco Loves Animals does not provide pet food and supplies in between pantries. Therefore, I understand I will not receive food outside of set dates and times. For the most current locations, dates, times and inclement related updates I will check the Delco Loves Animals Facebook page or blog. DLA Facebook page: https://www.facebook.com/DelcoLovesAnimals/ DLA Blog: https://delcolovesanimals.blogspot.com/*

Yes

I understand that the pet food I receive is meant to be supplementary and will not cover an entire month's worth of food or be specific to my pet's dietary needs.*

Yes

I understand that I and the authorized adult, identified above, are the only people to whom Delco Loves Animals will provide food for my enrolled pet(s), listed above.*

Yes

I understand that I and the authorized adult must present valid photo ID at each Pet Food Pantry.*

Yes

I understand that I Delco Loves Animals reserves the rights to refuse service to me.*

Yes

I understand that I Delco Loves Animals reserves the right to revise, change and/or assign additional conditions to enrollment process in the Delco Loves Animals Pet Food Pantry without notice.*

Yes

Would you like to Volunteer with the Pet Food Pantry or Delco Loves Animals? If yes, please complete our Volunteer Form here: https://form.jotform.com/DelcoLovesAnimals/VolunteerSignUp*

DLA Pet Food Pantry Enrollment Form

DELCO LOVES ANIMALS’ MISSION STATEMENT: To help reduce the stray pet population in Delaware County through spay and neuter efforts, and to partner with, support, and serve as a resource for local animal service providers and pet families.

To participate in the Pet Food Pantry: 1. You must be a resident of Delaware County, PA. 2. You must be at least 18 years old, verified with a valid photo ID.

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