Stanislaus Pet Resource Center Questionnaire
The goal of the Stanislaus Pet Resource Center is to help local pet owners help keep their pets in their homes by working collaboratively with owners to find alternatives to surrender to shelters. Resources may include but are not limited to: financial or medical assistance, pet food and supplies, assistance with pet deposit or impound fees, and home repairs/upgrades to keep pets safely contained. Our ability to accept pet families into the program is based on a combination of factors and currently available resources.

Please complete the following form to apply for assistance.

Name *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Phone Number *
Your answer
Email
Your answer
Are you an active member or veteran of the United States armed forces?
Where did you hear about the Resource Center *
Required
What programs or services would help you keep your pet? Select all that apply.
Pet's name?
Your answer
What is the breed or breed mix?
Your answer
How long have you had your pet?
Your answer
Species
How old is it (best guess)?
Your answer
Gender
Is your pet microchipped
Has your pet received any vaccinations with the past year?
If yes, do you have the current vaccination records?
Are you requesting euthanasia?
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