Bama Bully Rescue Spay/Neuter Fund Application

Please note - this application is ONLY for assistance with spay or neuter, if you are looking for additional medical assistance please use the appropriate form.

Thank you for making the choice to alter your dog. There are many resources available for owners/caretakers to receive low-cost or free spay/neuter. Since BBR has limited funds we ask you to check out the following links before applying for assistance to determine if there are low-cost programs in your area.

 

Personal Information

The Dog(s)

Are you the dog(s) owner? *
Sex? *
Is your dog pregnant? *
Is your dog in heat? *

Medical History

Additional Information

I give consent for BBR to use this dog's name, location and photo for fundraising and promotional purposes. *

BBR asks that in exchange for this assistance that you "Pay it Forward" when you're able to in the future. Examples of this request are: Volunteering with us or your local animal shelter, donating to BBR's Medical Assistance Fund or another local spay and neuter initiative, such as Friends of Cats and Dogs (FCDF.org)

Please note :

  • This application is ONLY for spay or neuter assistance, if you are looking for additional spay/neuter assistance please use the appropriate form.
  • We cannot reimburse for procedures that have already been completed.
  • All funding must be pre-approved and we only pay the vet clinic directly.
  • If you work for a clinic and have a client that is unable to fill out the application due to disability or lack of internet access, please contact us at fixabull@bamabully.org
  • If you haven't heard from us within 7 days of submitting your application, check your spam folder for our volunteer's response. The name you submit on the application will appear in the subject line.

 

FOR BBR USE ONLY:

 

Received by:                                                                                                        

Date:                                                                  

 

Approved:                        Denied:                         Amount:$                

 

Funding Source/Grant Allocation:

                                                                                                                                           

 

Clinic used:                                                                                                                           

 

Comments: