SNAP (Spay Neuter Assistance Program) of Gallia County

Gallia County SNAP of

Spay Neuter Assistance Program

Application for Spay Neuter Assistance

You must be a resident of Gallia County to apply for assistance.

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Is there any chance any of the females are pregnant?

Have the cats had any shots?

Do they get flea, tick, or worm treatment?

Do you keep the cat(s) inside or outside?

Where did you get each cat?



Note: We do not share your information with anyone.

How much money do you and any other people in your household receive each month from all sources, including job, social security, disability, alimony, food stamps, child support, retirement, etc.?     $

Are you employed?  

If yes, where?  

How many people live in your house or apartment?

DOGS  (Please list only those animals in need of spaying or neutering.)

Do you have dogs who need spaying/neutering?

Date:

Name:

Address:

City:

State:

Zip Code:

Is there any chance any of the females are pregnant?

Have the dogs had any shots?

Do they get flea, tick, or worm treatment?

Do you keep the dog(s) inside or outside?

Where did you get each dog?

If you bought the dog(s), where did you buy them?

Number of Males:

Age(s) of each:

Number of Females:

Age(s) of each:

Breed(s) of each:

Breed(s) of each:

If yes, what?

CATS  (Please list only those animals in need of spaying or neutering.)

Do you have cats who need spaying/neutering?

Number of Males:

Age(s) of each:

Number of Females:

Age(s) of each: