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(409) 755-6100
500 S Main St, Lumberton, TX 77657
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Reduced-Rate Spay & Neuter Clinic Form
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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
Alabama
Alaska
American Samoa
Arizona
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Colorado
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Ohio
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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
Add
Remove
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
*
MM slash DD slash YYYY
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