FREE Low Income Spay & Neuter Clinic Form
**Please note that in order for the free clinic to assist you with spay/neuter, you must be willing to bring ALL unaltered dogs, puppies, cats and kittens in your home. This program is intended to alter all of the pets in your household to reduce the population of homeless pets in the San Luis Valley.**

Now collecting information for upcoming FREE spay/neuter clinics in the San Luis Valley, CO.

You MUST be 18 years or older to fill out this form and to complete the paperwork to get a pet spayed/neutered at the free clinic.

You MUST carefully and completely fill out the forum below, and we will contact you when we begin scheduling for upcoming clinics. Incomplete applications will not be reviewed.

All pets spayed/neutered will be given age appropriate shots at the time of surgery.

Once we have received your information, we will contact you via the email address you provide below with a conformation of your appointment date, time, and all of the details you need to know about the upcoming clinic. Please be sure to read through the email you receive. You will get a conformation email saying your responses are received, and then a final email with your date and time.

Please do not submit more than one application per household.

We CANNOT spay/neuter dogs or cats that are being fostered for local shelters or rescues, and we are unable to spay/neuter cats or dogs for local shelters or rescues.
We CANNOT spay/neuter for breeders.

Colorado Animal Welfare League will be hosting this free spay/neuter clinic.
All surgeries will be performed by licensed veterinarians.

Email address *
First and Last Name *
Your answer
Your Name as it Appears Exactly on Facebook: *
Your answer
Phone Number *
Your answer
What city/town do you live in/close to? *
Your answer
Kittens MUST be 8 weeks or older and weigh 2lbs or more. Puppies MUST be at least 8 weeks old. Small breed dogs MUST be at least 12 weeks old & weigh at least 4lbs. We can no longer accommodate MALE dogs over 100lbs. *
How many pets do you have? MUST note cat/dog and sex for each pet. (Example: 1 female dog, 2 male cats = 3 total pets.) *
Your answer
Did you adopt your dog(s) locally? When and where? *
Your answer
Are you affiliated with a local shelter or rescue organization? If so, which one? If none, write N/A. *
Your answer
Who referred you to the Free Spay/Neuter Clinic? *
Your answer
Have You Used this Spay/Neuter Program Previously? *
Do you agree to show up on time for your scheduled appointment date, or notify us if you can not make your appointment? *
Are you 18 years old or older? *
Please note that the owner of the pet(s) being spayed/neutered will be given the ONLY copy of the spay/neuter/vaccination record. The clinic does not keep a copy of the vaccination record that will be given to you when you pick up your pet(s), so it is imperative that you keep it in a secured location. *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of SLV Pet Resources.