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Louisiana Pet Overpopulation Advisory Council Spay Neuter Assistance Program
Administered by 4 Paws Rescue, Inc.
This program provides assistance to low-income pet owners that receive a form of government assistance. PRIORITY IS GIVEN TO THOSE WHO ARE MOST IN NEED.

Please note: YOU ARE RESPONSIBLE FOR SCHEDULING THE APPOINTMENT AND TRANSPORTATION OF YOUR PET TO AND FROM ODOM VETERINARY CLINIC IN FARMERVILLE, LA

**You MUST provide proof of government assistance before your application can be approved. Attach photocopy and email to 4pawsruston@gmail.com.**
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Your Name
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Your Address
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Your phone number
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Pet's Name
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Pet's Age
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Breed
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Pet's Weight
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Type of Pet
Dog
Cat
Male
Female
Is your pet current on their Rabies and other vaccinations?
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What veterinarian  do you currently use?
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Please check all that apply to your situation. (Must supply proof)
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Required
How many people live in your household?
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How much can you contribute towards the spay/neuter surgery?
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What is your annual gross income?
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Your initials
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Date
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MM
/
DD
/
YYYY
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