APPLICATION FOR SPAY / NEUTER ASSISTANCE - CANINE
TERMS AND CONDITIONS
By completing this form, you acknowledge that Ruakaka Dog Rescue (RDR) and the Humane Society (The Society) accepts no responsibility for injury or death of any animal associated with the operation of this spay and neuter fund
It is RDR’s and The Society’s policy to only pay a portion of this operation.
It is imperative the dog has no food after 8pm the night previous only water and no food or water in the morning of the
spay/neuter surgery.
If the dog is reactive and cannot be handled by a qualified veterinarian the spay/neuter may be cancelled.
The owner verifies all information given is correct to the best of their knowledge.
Full Name *
Your answer
Full Address *
Your answer
Mobile and/or phone number *
Your answer
Alternative Contact *
Your answer
CSC Card or Benefit Details *
Your answer
Reason for assistance *
Your answer
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