Assistance Request Form
FANS of WCRAS is 100% donation driven and using stories about what we do funds our ability to help people and their pets. Our stories use the name of the pet and photos or videos. The family's name is never used. By accepting assistance from us, you hereby grant FANS of WCRAS permission to use your story (anonymously), photograph(s), and/or video(s) in any and all of its publications or on the internet, whether now known or hereafter existing. You will make no monetary or other claim against FANS of WCRAS for the use of the photograph(s) and/or video(s). Please send at least 3 photos of your pet to for future use.
Name *
Phone *
e-mail *
Address *
City, State, Zip Code *
Referred by
Type of Assistance Requested: *
Type of Pet *
Pet's name *
Explanation of the issue *
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