FOOD ASSISTANCE PROGRAM
Welcome to Companion Pets of Cleveland Food Assistance program.

Your membership allows a monthly pickup of dry and or wet food for your pet(s) for one year. Because we are donation-based, we cannot promise specific food types or name brands.

If food availability becomes an issue, you will be given a Resource guide that lists many services available in the Northeast Ohio area.

When you need more food please use our Food Assistance Reorder form via the Companion Pets of Cleveland website. We will contact you once the form is received to schedule an appointment to pick up food. This allows us to make sure we have what you need. Bring your membership card at the time of each visit.

The application you will fill out has many questions regarding you and your pets. There are no judgments, and the statistical information provided from your answers will be used in the future to secure grant funding.
We believe in this program and would like to see it continue!

Bob Stevens
Founder, Executive Director

Carol Rini
Food Assistance Program Chair
NAME (Legal Owner) *
STREET # and NAME *
CITY, STATE & ZIP *
PHONE: HOME or CELL *
CAN WE TEXT THIS NUMBER *
EMAIL ADDRESS *
GOVERNMENT ASSISTANCE (SELECT ALL THAT APPLIES) *
Required
ARE YOU A MILITARY VETERAN? *
HOW DO YOU IDENTIFY? *
AGE RANGE *
NAME OF PET #1 *
SPECIES OF PET #1: *
Required
GENDER of PET #1: *
Required
APPROX. WEIGHT OF PET #1: *
IS PET #1 THE SIZE OF: *
IS PET #1: *
Required
APPROX. AGE OF PET #1: *
DOES PET #1 NEED VACCINATIONS? *
IS PET #1 MICROCHIPPED? *
NAME of PET # 2:
SPECIES of PET #2:
GENDER of Pet #2:
APPROX. WEIGHT of PET #2:
IS PET #2 THE SIZE OF:
Clear selection
IS PET #2:
APPROX. Age of Pet #2
DOES PET #2 NEED VACCINATIONS?
Clear selection
IS PET #2 MICROCHIPPED?
Clear selection
NAME of PET #3
SPECIES of PET #3:
GENDER of Pet #3:
APPROX. WEIGHT of Pet #3:
IS PET #3 THE SIZE OF:
Clear selection
Is Pet #3:
BREED of Pet #3:
APPROX. Age of Pet #3:
DOES PET #3 NEED VACCINATIONS?
Clear selection
IS PET #3 MICROCHIPPED?
Clear selection
ADDITIONAL PET's (Please include name, species, weight, age, spay/neutered status, breed)
WHAT DO YOU NEED? (Select All That Apply) *
Required
"OTHER" INFORMATION (Does your animal have special needs, diet, etc.?) Use N/A if none. *
VETERINARIANS NAME & PHONE NUMBER:
Submit
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