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Home
About
Spay & Neuter
Pet Food Pantry
Events
Shop
Donate
Contact

Spay & Neuter

Do you need help with spaying or neutering your pet?

ANNOUNCEMENT
We are taking applications but there may be a waitlist depending on funding.

CLINIC LOCATION
The clinic we use for spay and neuter procedures is located in Cedar Rapids, IA. If you are unable to transport your animal to Cedar Rapids, we are not able to help you with funding. You can search for closer options in Iowa by visiting www.spayiowa.org.

If so, we might be able to help.

We offer subsidies through a voucher program to reduce pet overpopulation and the number of animals entering shelters.

If you would like to apply for financial assistance, please complete this APPLICATION and return to us by email or through the postal service. If we can approve your request, you will receive a voucher through your email. Please be sure to print your information clearly on the form. If we can’t read it, we won’t be able to send a voucher.

Spay and Neuter Form

Step 1 of 5

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Online Spay and Neuter Application
How did you hear about our program at Animal Resource Foundation of Iowa?*

CONTACT INFORMATION
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What county do you live in?

PERSONAL INFORMATION
Employed:*
- Full-time
- Part-time
- Unemployed
- Other
Please Explain
How many adults live in your home?*
How many children live in your home?*
What is your total monthly household income? (Please include all sources.)*
Which of the following benefits do you receive? Please check all that apply.*
- Social Security
- Medicaid/Medicare
- Unemployment
- Food Stamps
- WIC
Please describe your situation and why you are asking for spay and neuter assistance:*

GENERAL PET/ANIMAL INFORMATION
How many dogs do you have?*
Do you feed outdoor cats?*
- Yes
- No
- Other
Please Explain
How many cats do you have?*
How many of the outdoor cats are fixed?*

ABOUT THE ANIMAL(S) THAT NEEDS TO BE FIXED.
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have 2nd another animal that needs to be fixed?
- Yes
- No
ABOUT THE 2ND ANIMAL THAT NEEDS TO BE FIXED.
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 3rd another animal that needs to be fixed?
- Yes
- No
ABOUT THE 3RD ANIMAL THAT NEEDS TO BE FIXED.
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 4th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 4TH ANIMAL THAT NEEDS TO BE FIXED.
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 5th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 5TH ANIMAL THAT NEEDS TO BE FIXED.
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 6th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 6TH ANIMAL THAT NEEDS TO BE FIXED.
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 7th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 7TH ANIMAL THAT NEEDS TO BE FIXED.
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
Do you have a 8th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 8TH ANIMAL THAT NEEDS TO BE FIXED.
How many litters has she had?
- None
- 1
- 2
- 3 or more
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 9th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 9TH ANIMAL THAT NEEDS TO BE FIXED.
How many litters has she had?
- None
- 1
- 2
- 3 or more
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 10th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 10TH ANIMAL THAT NEEDS TO BE FIXED.
How many litters has she had?
- None
- 1
- 2
- 3 or more
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 11th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 11TH ANIMAL THAT NEEDS TO BE FIXED.
How many litters has she had?
- None
- 1
- 2
- 3 or more
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
Do you have a 12th another animal that needs to be fixed?
- Yes
- No
ABOUT THE 12TH ANIMAL THAT NEEDS TO BE FIXED.
How many litters has she had?
- None
- 1
- 2
- 3 or more
Pet Name
Type
- Cat
- Dog
- Bunny
Does this pet live
- Inside Only
- Inside and Outside
- Outside Only
Breed and Color
When was this animal last seen by a vet?
- Under a year
- 1 – 5 years
- Never
- Don’t Know
Male or Female
- Male
- Female
- Not Sure
How many litters has she had?
- None
- 1
- 2
- 3 or more
If you have even more pets that need to be spayed and neutered please fill out this form again with the additional animals.
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Location

Animal Resource Foundation of Iowa

PO Box 253

Center Point, IA 52213

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