Broome County Humane Society Spay/Neuter Application
The Broome County Humane Society Spay/Neuter Assistance Program - Providing Low Cost Spay/Neuter Services to Broome County and Surrounding Areas

The Low Cost Spay/Neuter clinics are intended for area residents who cannot afford the spay/neuter fees charged at their veterinarian’s office due to financial hardship.

IMPORTANT: This program is NOT to replace your annual/general/wellness/sick veterinary care. You should ALWAYS have a veterinarian for your pet(s) and see them annually (or as needed/recommended).

Your Name (First & Last) *
Your answer
Address *
Your answer
City *
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State *
Your answer
Zip *
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Phone Number *
Your answer
Email
Your answer
Pet Type *
Dog Breed and Approximate Weight (If Applicable - This is for scheduling purposes)
Your answer
Pet Name *
Your answer
Pet Age
Your answer
Gender *
Pet's Color
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How did you hear about our program?
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Are you currently receiving public assistance? *
How many people live in your household?
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Total monthly household income?
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Please list all the vaccinations your pet has had and provide a copy of the vaccination certificate(s) on the day of surgery. Your pet must be current on both rabies and distemper vaccinations. If your pet does not have current vaccines, you must purchase them at the clinic for $15.00 each in order to use this service. *
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