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SERVICES
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VETERINARIANS
PET CARE
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GET INVOLVED
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FUNDRAISE
FOSTER APPLICATION
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HOME
ADOPT
DOGS
CATS
PRE-ADOPTION QUESTIONNAIRE
ABOUT
WHO WE ARE
WHAT WE OFFER
REACH OUT
Close Button
SERVICES
OWNER ASSISTANCE
PET SURRENDER
VETERINARIANS
PET CARE
GET INVOLVED
FUNDRAISE
FOSTER APPLICATION
VOLUNTEER APPLICATION
DONATE
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Pet Food Assistance
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Name
*
First
Last
Phone Number
*
Address
*
City
*
State
*
Zip Code
*
Email
*
How many animals are you needing assistance with?
*
1
2
3+
Animal type
*
Dog
Cat
Please list all animals names
*
Breed
Weight
*
Age
*
Spayed/Neutered
*
Yes
No
Special Needs:
~Please specify which animal~
Name of Current or Past Veterinarian or Clinic
*
Understand that all pet food and supplies are donated and may not be the current brand you use to feed your pet, which may upset your pet’s stomach. I agree not to hold the Humane Society of the Upper Valley, its volunteers, and benefactors legally liable in the unfortunate event your pet(s) become ill or the food upsets a pets(s) stomach Recipients agree not to resell, redistribute or attempt to return to a store, any food or care items received from HSUV. The Humane Society of the Upper Valley will make every effort to consider special requests for certain formulas or flavors of dog and cat food (i.e., Senior, indoor, etc.), but are only able to give what is available at the time.
*
I Understand
E Signature
*
First
Last
Date
Submit