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Application for Financial Assistance
Leftover Pets can provide assistance for people who need help paying for spay/neuter services. Please be assured that we will do whatever we can to assist you with spay/neuter of pet dogs and cats and feral/stray/community cats. Please complete this form and we will contact you within five business days.
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* Indicates required question
First Name
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Your answer
Last Name
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Choose
GA
other
Zip Code
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Your answer
County of Residence
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Your answer
Email Address
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Your answer
Is this email checked at least weekly?
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Yes
No
Phone number
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Your answer
Can you receive text messages at this number?
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Yes
No
What animals do you want to fix?
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Dog(s)
Cat(s)
Dog(s) and Cat(s)
Which pet or pets do you need help to have spay/neutered? Please include animal's name, dog or cat, male or female, age, and breed or mix for dogs.
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Your answer
Are there any other dogs/cats/puppies/kittens living at your address that are not already spay/neutered?
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Yes
No
If yes, please list by name and say if they are dog/cat, male/female, age, and breed mix (dogs only).
Your answer
Do you feed outdoor cats/kittens (friendly or feral)?
Yes
No
Sometimes
Clear selection
If yes, are they ALL fixed?
Yes
No
Don't know
Clear selection
If funding is available, would you like to have all pets and/or outdoor cats/kittens fixed?
Yes
No
Maybe
Clear selection
If No/Maybe, which ones do you NOT want to fix and why?
Your answer
How much can you afford to pay toward spay/neuter fees?
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Your answer
Why are you unable to afford regular spay/neuter fees at this time?
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Your answer
Does anyone at your address receive proof-of-income subsidy payments, such as food stamps, unemployment, SSI, Disability, Medicaid? Does anyone receive Social Security or have Medicare?
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Yes
No
Other:
Would you be willing/able to submit a photo of your pets and/or community cats that you want to have fixed? Photos would be used on social media and/or in emails to solicit funds for spay/neuter.
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Yes
No
Maybe
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