I certify that I am a resident of Kitsap Humane Society's' county of operations (Mason county certificates excluded). I further certify that my annual income qualifies me for this spay/neuter program (3 or less members of the household: annual income of $51,750 or less; 4 or more members of the household: $57,500 or less). If requested to do so, I am able to show documented proof of my income.
NOTE: Feral Cat $25 Trap/Neuter/Return surgeries are excluded from low-income requirement. Please see addendum below for additional terms for the Feral Cat TNR Program.
I also certify that I am at least 18 years of age.
Pets should be up-to-date on their vaccinations. Those pets that are not up-to-date are at risk of coming down with common dog and cat diseases.
I waive any and all claims against the Kitsap Humane Society which may result from my pet's surgery and/or stay. I understand female pets will be marked with ink at the incision site.
I have read and understand the Guidelines section of this form. I have read and signed the Income Affidavit section of this form (not required for TNR). All of my answers are correct to the best of my knowledge.
Pet owner is responsible for all costs over those allowed by Kitsap Humane Society Spay/Neuter Program.
Your pet must be at least 8 weeks of age and not older than 7 years of age.
Your pet must pass a pre-surgery exam the day of surgery.
Kitsap Humane Society reserves the right to deny surgery for aggressive animals that cannot be safely handled by staff.
Weight restrictions may apply.
We have limited space on each surgery day, and a surplus of people needing spay/neuter assistance. When someone does not show up for an appointment, it means we have also lost the opportunity to get someone else's pet spayed/neutered.
IF YOU ARE UNABLE TO MAKE YOUR APPOINTMENT, YOU MUST CANCEL WITHIN 24 HOURS OR YOU WILL BE BILLED A $10 NO SHOW FEE.
ADDENDUM for Feral Cat TNR Program: I understand that this program is for un-owned, free-roaming cats within Kitsap County (excluding Port Orchard 98366 zip code area). I understand that all TNR surgeries require a fee of $25 PER CAT. I understand that ALL cats brought in for the Feral Cat TNR Program will be ear-tipped at the time of surgery (mandatory). Feral cats receiving TNR surgery will receive a rabies vaccination at time of surgery. TNR cats must weigh at least 2 pounds to be eligible for surgery, and caretaker does not need to know the age of the cat.
I understand that Trap/Neuter/Return program requires that all cats be returned to their original outdoor habitat, not more than one-half block from where they were trapped. I further understand that the cats must be kept in a warm, dry, protected space for a minimum of 24 hours following surgery, to allow time for recovery before being released back outside.