Thursday, September 9th,2010
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Spay or Neuter Services
Fulton Spay/Neuter Assistance Program
Fulton County Animal Services (managed by Barking Hound Village Foundation, Inc.) appreciates your interest in spay/neuter services. We are committed to decreasing the number of unwanted pets in Fulton County. Low cost spay/neuter is available as well as vaccinations. If you can afford to contribute a portion of the cost of those services, we appreciate your willingness to do so. If you cannot, and need free services, we are happy to assist. Either way, please complete the application below. We can process this quickly over the phone at (404) 613-0358 or through our website at:
fultonanimalservices.com
(Applicant must be a resident of Fulton County). There is a limit of three (3) animals that can be sterilized under the SNAP program based on the directives of FULTON COUNTY ORDINANCE 34-203a.
Date: (*)
Please add a value for .
First and Last Name: (*)
must contain only 0-9,a-z,A-Z characters
Address: (*)
must contain only 0-9,a-z,A-Z characters
City: (*)
must contain only 0-9,a-z,A-Z characters
State: (*)
must contain only a-z,A-Z characters
Home Phone: (*)
must contain only 0-9,a-z,A-Z characters
Daytime Phone: (*)
must contain only 0-9,a-z,A-Z characters
Cell Phone: (*)
must contain only 0-9,a-z,A-Z characters
Email Address: (*)
is not a valid e-mail address.
I can contribute: (*)
must contain only 0-9,a-z,A-Z characters
Name of Pet: (*)
must contain only 0-9,a-z,A-Z characters
My pet is a: (*)
Cat
Dog
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Breed: (*)
must contain only 0-9,a-z,A-Z characters
Age: (*)
is not a number.
Sex: (*)
Female
Male
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Color and description of pet: (*)
Color, Height, Disorders, Health Problems, etc.
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Other pets in your home?
if none then enter none.
Vet’s Name:
Vet’s Phone: (*)
must contain only 0-9,a-z,A-Z characters
Reason for assistance: (*)
Unemployed
Illness
Financial Hardship
Medicaid recipient
Other
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If Other Please Specify:
Where did you obtain your pet? (*)
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The information provided is correct. I release Barking Hound Village Foundation, Inc., Fulton County Animal Services, Lifeline Animal Project, Atlanta Humane Society and any and all other service providers, their veterinarians, officers, board of directors, employees, volunteers, parent companies, etc., from any liability for any problems, complications, death or other circumstances arising from any medical procedures, vaccinations, loss of pet or any other issues that might arise.
Signature (*)
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Date: (*)
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