Application for Natchitoches Hope for Paws Spay/Neuter Program
Keep Natchitoches Beautiful, Don't LITTER, Spay and Neuter!
Name: *
Your answer
Street Address: *
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City: *
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Zipcode: *
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Phone Number: *
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Email Address: *
Your answer
Are you a resident of Natchitoches Parish? *
Who is your current veterinarian? *
Your answer
If selected for NHFP's Spay/Neuter Program, will you use the veterinarian listed above? *
If no, which veterinarian will you use?
Your answer
How many animals do you need to have spayed or neutered? *
Note: Only one animal will be considered per family per year.
Are these animals cats or dogs? *
Are these animals vaccinated? *
Are these animals on a heartworm preventative treatment? *
What is the Name of the Animal that you plan to have spayed/neutered with this program? *
Your answer
Animal's Gender? *
Why are your pets not yet spayed/neutered? *
Your answer
Marital Status:
How many members are there in your household (including yourself, spouse and dependents)? *
Your answer
What is your annual Household Income amount? *
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Do you receive any financial assistance? (if yes, check all that apply) *
If selected for NHFP's Spay/Neuter Program, you may be required to present ID for any of the following items.
Required
Have you used NHFP's Spay/Neuter program before for other animals? *
How did you hear about this program? *
Your answer
By signing your FULL NAME, you verify that all information given above is true and accurate. *
Your answer
By signing your FULL NAME, you agree to the following terms and conditions set by Natchitoches Hope For Paws. *
If accepted for this program, the participant will be notified via phone or email. The veterinarian will also be notified by phone. Natchitoches Hope for Paws will be billed $75.00 of the spay/neuter charges by the veterinarian. Only one animal will be considered per household per year. The participant will be responsible for the remainder of the bill. Each veterinarian has a different spay/neuter rate including non-surgical charges. The participant should contact the veterinarian concerning costs to be sure the participant makes the best choice for his or her situation. NHFP reserves the right to accept or deny any Spay/Neuter application without reason. This program is for Natchitoches Parish residents ONLY.
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