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Pet Awareness & Welfare Services (PAWS) Spay/Neuter Program Application

 

Pet Owner Information:
Requesting assistance for:
Will you be able to verify your income?
Yes No

 

Pet information:

Dog Cat
Male Female

Adopted
Found or Given
Bought

 

Please Read Carefully:
I/we the owner(s) of the pet named above, do hereby fully and completely release and discharge Pet Awareness & Welfare Services (PAWS) and all persons, agents, employees, directors and officers thereof and/or on its behalf liable from and against any and all actions, causes of actions, claims, demands, assertions, contentions, suits, damages, expenses and losses of any kind and description which in any manner pertain to, concern, involve, or relate to the spaying, neutering, or other medical services of my/our pet, including such pet’s death or injury, and I/we agree to indemnify and hold harmless all entities and persons being released hereunder from and against any and all actions, causes of actions, claims, demands, assertions, contentions, suits, damages, expenses, and losses resulting from the foregoing activities.

By my signature below I certify the following:

  • I understand that Pet Awareness & Welfare Services (PAWS) Spay/Neuter Program is for pet owners in need of financial assistance.
  • The information provided in this application is accurate and complete and is subject to verification.
  • I understand that an approval of the voucher from Pet Awareness & Welfare Services (PAWS) does not guarantee that my pet will receive a spay/neuter surgery and that it is up to the veterinary clinic to decide if my pet is suitable for the surgery.