LUCKY PAWS
 PET FOOD PANTRY

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Application

Lucky Paws Pet Food Pantry Application


Please fill out the application below so we can determine the best way to help you and your pet(s).  At your first visit there will be another form for you to fill out that we will ask more detailed questions regarding your pets. Please answer each question truthfully and to the best of you ability.


In order to be considered for assistance you must:

1)  Be 18 years or older.

2)  Have a picture ID.

3)  Be the owner of the pets(s).

4)  Understand the food provided is donated and that it may not be your current brand; therefore your pet(s) could get an upset stomach due to the introduction of new food to their diet.  We highly suggest you get a large container to mix all brands of food together.

5)  Agree to hold Lucky Paws, its staff, and volunteers free from all legal action.  We are also not responsible for any bodily injury to your or your vehicle while at a pantry function.

6)  Understand that Lucky Paws has the right to deny your application.

7)  Agree that you do not breed your pets for profit or sport.

8) All pets must be spayed or neutered.  Please provide verification from your vet that shows both your information and your pets.  You have 3 months from the date of your application to bring in the paper work.  If you do not, you may no longer receive assistance from Lucky Paws.  Exceptions or extensions will be made on a case by case basis.  We are aware that some exceptions will need to be made for pets due to their age or health problems.

9)  All dogs must be current  on their rabies vaccines.  Please provide verification from your vet that shows both your information and your pets.  You have 3 months from the date of your application to bring in the paper work..  If you do not, you may no longer receive assistance from Lucky Paws.

  Check below what best describes your need for assistance.
  Loss of Employment
  Disability
  Retired, low income
  Divorced
  Other
How Did You Hear About The Pantry?
Number Of Adults In Household
How Old Are You?
Total Monthly Gross Income (before taxes) Of All Adults In House
Full Name
Street Address
City
Zip Code (5 digits)
State
Home Phone
Cell Phone
Email
Number Of Dogs
List Their Name, Breed and Weight
Number Of Cats
List Their Name, Color and Weight
   
   
  By dating this form below you are agreeing that you have read the above and agree to the terms and conditions.
   
   
Today's Date *
   
   

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