OLD-Spay/Neuter VET Voucher Request

Thank you for your interest in getting your kitty spayed or neutered!

Please note that, if you are having your kitty altered at Shelton Vet, you need to make the appointment PRIOR to completing this form.

Please also note that completing this application does not guarantee that you will receive financial assistance. Your application will need to be reviewed by our staff first.

A volunteer staff member will get back to you within three days of submitting this form.

First Name *

Last Name *

Address *

City *

State (2 letter abbreviation) *

Zip Code *

Telephone Number *

Email Address *

Do you live in Mason County? *

We are sorry, but due to our limited resources, we are only able to provide spay/neuter assistance to Mason County residents. Please contact shelters in your area for assistance.

Are you currently on any type of financial assistance? *

Would paying full price for a spay/neuter be a financial hardship for you? *

How many cats would you like to have altered? *

What Vet are you using to have your kitty altered? *

When is your Vet Appointment? *

NOTE: You will be responsible for paying the full amount to your vet. You can then submit a copy of your invoice to Kitten Rescue for the financial aid described on our website.

__________________________________________

PLEASE NOTE that incomplete information about the cats you wish to have altered will delay your voucher application.

Cat #1 name *

Cat # 1 Gender

male
female
feral

Cat #1 date of birth (or estimated age in months and/or years) *

Cat # 1 description (for example - black with white marking on face and mittens) *

Cat #1 hair length *

short
medium
long

Cat #1 weight (approximate)

__________________________________________

Cat #2 name

Cat #2 Gender

male
female
feral

Cat #2 date of birth (or estimated age in months and/or years)

Cat #2 description (for example - black with white marking on face and mittens)

Cat #2 hair length

short
medium
long

Cat #2 weight (approximate)

__________________________________________

Cat #3 name

Cat #3 Gender

male
female
feral

Cat #3 date of birth (or estimated age in months and/or years)

Cat # 3 description (for example - black with white marking on face and mittens)

Cat #3 hair length

short
medium
long

Cat #3 weight (approximate)