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Phone: (409) 755-6100 Address: 500 S Main St, Lumberton, TX 77657

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Reduced-Rate Spay & Neuter Clinic Form

"*" indicates required fields

Comments

This field is for validation purposes and should be left unchanged.

Purpose: This program provides Hardin County residents with access to reduced-cost spay and neuter services to support animal health and reduce pet overpopulation.

Applicant Information

Client Full Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number (primary)*

Email*

Best Way to Reach*

Call

Text

Household Income*

Residency Requirement

Applicants MUST reside in Hardin County.
PROOF of residency WILL be required at the time of application or prior to approval.
A non-refundable deposit is required to secure your pet’s surgical appointment

Animal Information*

Pet Name

Dog or Cat

Sex

Breed

Color

Age

Program Guidelines:

Assistance is limited to two (2) animals per household per calendar year.
Applications are processed on a first-come, first-served basis.
Approval is subject to funding availability and program guidelines.

Applicant Acknowledgement:

By signing below, I confirm that I AM a resident of Hardin County and that the information provided on this application is accurate. I understand and agree with the program guidelines, including the two (2) animals per household per calendar year limit. I understand that a non-refundable deposit is required to secure the surgery appointment.

Signature*

Date*

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