Chako Pit Bull Rescue Spay/Neuter Pit Bull Assistance Voucher

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Chako Pit Bull Rescue Spay/Neuter

Pit Bull Assistance Voucher Program

Chako Pit Bull Rescue offers full or partial spay/neuter vouchers to Sacramento area Pit Bull owners. Vouchers are subject to the availability of our funds and are entirely discretionary. Those who apply must:

1.

Reside within 40 miles of Sacramento, California

2.

Be a member of Chako’s Meetup at www.meetup.com/pitbulls

3.

Have attended at least one meetup

4.

Have a household income of less than $40,000 per year

5.

Own an intact purebred Pit Bull (or a dog that appears to be mostly purebred)

6.

Demonstrate difficulty in accessing other spay/neuter assistance programs

While you don’t have to be able to afford to contribute money toward your dog’s spay/neuter, it helps us to service more people if you can. For residents with incomes on the upper end of the requirement, we may provide partial grants.

To apply, fill out this application and return it via fax or email. Fax number: 866-609-3632. Email: dogs@chako.org

Name:

Street Address:

Email:

Dog’s Name:

Dog’s Gender:

Phone:

City / Zip:

Annual Household Income:

Dog’s Age:

Dog’s Weight:

Who is your veterinarian, if applicable?

Are you a member of Chako’s meetup? yes no Meetup name:

Chako meetup event last attended (date): Name of last meetup event attended:

Have you tried to access other Sacramento area low cost spay/neuter assistance programs? Yes No

What other programs have you tried to access?

Why could you not access the other programs? (Be specific):

Can you afford to contribute at least some money toward your dog’s spay/neuter?

Yes No

If you can afford to contribute, how much?

From where did you get your dog?

How far can you travel for a spay/neuter? How many dogs do you have?

How many dogs in the home do you have that are not spayed or neutered?

Can you provide proof of income? Yes No

Comments:

Email a photo of your dog to dogs@chako.org

with this application (or separate if by fax, and include your full name in the email so we can match it to your application).

By signing below, I represent that all of the above information is true and correct to the best of my knowledge:

Digital Signature if returning form by email:

Hand Signature if returning form by fax: ___________________________________________

Date:

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