Community Spay & Neuter Clinics

Spay/Neuter Form

For spay and neuter clinics.

QUALIFICATIONS

Please fill out the form to apply for the spay and neuter clinic. NOTE: we will only be in touch with approved clients. Qualifications - Animal must be between 6 months to 6 years of age. - Animal must be healthy: no nasal or ocular discharge/sneezing. - Applicant owns the animal. - For companion animals only. Litters intended for sale will not qualify. Previously bred moms will qualify. - No animals in heat - No visibly ill animals - MBM verification below $57,909.00  Notice of Assessment  Tax Return - Owner must be available June 27th for: o Drop off between 8:30AM and 9:30AM at CHS o By phone for updates on surgery and scheduled pick up o Pick up will be scheduled with CHS, between 3:30PM and 5:00PM. Pick up MUST be completed by 5:00PM June 27th

About You

Your Name(Required)
Your Address(Required)
Please select the age range that applies to you

How Can We Reach You?

We would love to chat with you. How can we get in touch?
Your Email Address(Required)

Tell us about your animal

We are only spaying/neutering one animal per household at this time.
What kind of animal are you enrolling?
Animals must be between 6 months - 6 years of age.
Animals must be between 6 months - 6 years of age.
Ex. No vomiting, diarrhea, no known or visible signs of clinical disease.
Ex. No vomiting, diarrhea, no known or visible signs of clinical disease.
Ex. No vomiting, diarrhea, no known or visible signs of clinical disease.
Is your animal in heat?(Required)
If your dog is visibly in heat at time of drop off, your dog will be sent home with you without having surgery. This does not apply to cats.
- Rent with landlord permission - Rent without landlord permission - Own home - Currently unhoused - Facing eviction o If facing eviction, is this related to your pet?

Vet History

Has your pet been vaccinated within the past year?(Required)
Your animal will be housed in a separate kennel from other animals. Vaccination is not a requirement for this spay/neuter clinic. By submitting this application, you acknowledge there is a risk of exposure of your animal to infectious disease. If your animal is unvaccinated your animal is at increased risk.
Max. file size: 50 MB.

Behaviour Information

Does your animal demonstrate aggression with strangers in veterinary clinical settings or at the groomers?(Required)
Does your dog need to be muzzled at the vet?(Required)
Has your pet bitten and broken skin in the last 10 days?(Required)

Proof of Low Income Status

Market Basket Measure verification below $57,909.00. A Notice of Assessment or Tax Return works as proof.
Max. file size: 50 MB.
Ex. Notice of assessment or tax return.

Availability

Pick up MUST be completed by 5:00pm June 27th.

Additional Support

Please select any other supports you may be seeking: