719-395-2737
DONATE
About Us
Our Story
Life-Saving Statistics
Newsletters
News
Happy Tails Blog
FAQ
Board of Directors
Staff
Employment
Adopt
Dogs
Cats
Other Critters
Before You Adopt
How To Adopt
Services
Community Resources
Local Pet Resources
Kitten Resources
Community Pet Fund
Pet Food Pantry
Emergency Pet Boarding
Pet Behavior Support
Spay, Neuter & TNR Programs
Pet Cremation Services
Relinquishing Your Pet
Lost & Found Pets
Get Involved
Adult & Youth Volunteers
Foster Program
Group Volunteer
Do It Yourself Projects
Volunteer FAQ’s
Events
Sponsor or Host an Event
August Matching Campaign
Comanche Drive In
Tails on the Trail
Good Pet/Bad Portrait
Feline & Fido Calendar Contest
Community Microchip and Pet ID Tag Clinc
Contact
CONTACT US
[contact-form-7 id="No contact forms found" title="Contact"]
"
*
" indicates required fields
Community Assistance Spay/Neuter Application
Please fill out one form per animal.
My pet is a...
*
Cat living in Chaffee County
Pit Bull Breed or Predominately Pit Bull Mix living in Chaffee County
Other Canine Breed belonging to Low Income/Unsheltered community member living in Chaffee County
Pet Owner's Name
*
First
Last
Referring organization and name/email of agent filling out application on behalf of owner (if applicable).
Mailing Address. This is where the coupon will be mailed to. Enter N/A if unsheltered.
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Phone Number
*
Email Address
*
Do you want free microchipping for your pet?
*
Yes
No
Please check any free vaccinations you are interested in having your pet receive:
*
Rabies Vaccine
Distemper Combo Vaccine (FVRCP for felines, DA2PPV for canines)
None
Pet's Name:
*
Sex of Pet:
*
Male
Female
Approximate weight:
*
Approximate age:
*
Primary Color:
*
Secondary Color and/or Color Pattern:
Primary Breed:
*
Secondary Breed:
Hair Type:
*
Short Hair
Medium Hair
Long Hair
Please attach a photo of your pet:
Max. file size: 64 MB.
Please attach a copy of your drivers license:
for proof of residency in Chaffee County
Max. file size: 64 MB.
For Other Canine Breeds (non-Pit Bull), please attach proof of low income/unsheltered status, if applicable:
May include a letter of referral stating the pet owner's low-income/unsheltered status from a referring agency OR a referring agency staff member fills out the application on behalf of the pet owner. Referring agency examples: Law enforcement, a human services agency such as Chaffee County Hospitality, the Department of Human Services, Solvista, any church, The Mission, The Grainery, the Caring & Sharing Resource Center, etc. Pet owners may also provide proof of enrollment in CO assistance programs such as SNAP, Health First Colorado/Medicaid, Social Security Disability, etc.
Max. file size: 64 MB.
Please let us know the amount you are able to afford as a co-payment at the time of your appointment (any amount is okay).
*
Our program has limited grant funding and any amount you can provide will allow this program to help more animals.
Spay Tattoo Agreement
*
The pet owner understands that all female pets will receive a small standard tattoo to visually indicate that the animal has been spayed.
Consent to Share Information
*
The pet owner agrees that the information on this form is correct and allows Ark-Valley Humane Society to share the information provided with the supporters of the program (private parties, foundations, governments) for the purpose of documenting this spay/neuter program.
After submitting the application please keep an eye on your email for further instructions. You'll receive a follow up email soon.
CAPTCHA
Signature
Our Newsletter
Newsletter Sign Up
Instagram Feed
YouTube Feed
Popular
Recent
Comments
Ark-Valley Humane Society and Heart of the Rockies Radio Pet of the Week
Aug 03, 2016
Ark-Valley Humane Society and Heart of the Rockies Radio Pet of the Week
Jul 06, 2016
Is your dog collared with an ID tag and Chipped?
Jan 09, 2025
Pet of the Week – Heart of the Rockies Radio
Jan 08, 2025
Facebook Feed