Pre-Register for a Clinic or Voucher
Completing this form will help volunteers get you registered quickly and correctly.
If you prefer to register by phone, call 605-593-5550.
Tell Us About Yourself
Your Last Name:
Your answer
Your First Name:
Your answer
What is your house number and street? (can be provided by phone)
Your answer
City/town?
Your answer
State?
Your answer
Zip?
Your answer
What is your e-mail address? *REQUIRED *
Your answer
What is your telephone number? *REQUIRED *
(We need your telephone number to call with instructions and to remind you of your clinic appointment.)
Your answer
Are your cats feral or domestic?
How many cats do you want fixed?
1
2
3
4
5
Female
Male
Unknown
We help low-income cat owners and community cat caretakers.
If you feed cats in your barn or around your neighborhood, we can help you regardless of your income.
What is your main source of income?
Your answer
Have we helped you before?
I have read the terms and conditions and I agree to them. *REQUIRED *
Required
You will receive an e-mail and a phone call from a Coalition Volunteer. If you do not receive a confirmation e-mail or a telephone call, please call 605-578-9770 during business hours to register by phone.
By clicking "submit," you acknowledge that the information you have provided is correct and that you will speak to a Coalition volunteer to confirm your appointment.

IMPORTANT: YOUR CAT(S) APPOINTMENT FOR SPAY/NEUTER WILL NOT BE CONFIRMED UNTIL YOU SPEAK TO A VOLUNTEER.

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