SNIP Application



SNIP APPLICATION

Gander and Area SPCA
36 McCurdy Dr.
Gander, NL A1V 1A2
709-651-3002
ganderandareaspca@outlook.com


The SNIP program is funded to provide assistance to qualifying individuals in the Gander area, with the cost of spaying or neutering animals in their care. The surgery is to be preformed at the Gander Vet Clinic after your application has been approved and you have paid the required fee.

Your application will be reviewed by a staff member of the Gander and Area SPCA, all information we receive is strictly kept confidential and will not be shared with any outside parties. Once your application is reviewed, you will be notified if your application is approved, if we require further information, or if your application has been denied.

If approved and placed on a wait list, you will be notified once we are able to provide assistance. Your fee for the spay/neuter would be as follows:


This fee must be paid before booking the surgery. Priority will be given to the applicants on the waiting list with their fees paid.

To qualify for assistance you must meet one of the following criteria:




Please note: The Gander and Area SPCA reserves the right to deny any application at its sole discretion.

You must provide proof of meeting the criteria with a copy of the Notice of Assessment you recieved with your previous years Income Tax Return, of ALL adults living in the household. If sending via mail, please only send in a copy, DO NOT send in the original document(s).

Contact Information:


Please ensure you have provided reliable contact information. We need to be able to contact you for follow up questions and/or application approval.
Given name of applicant.
Surname of applicant.
List ALL persons over 18 currently living in your home.
List the names and ages of persons under 18 in your home.
What street you are currently living on.
What is your current town.
Your current province.
What is your postal code?
What is your email address?
What is the best number to reach you?

List ALL of the currents pets in your home.



Pet One:
Pet Two:
Pet 3:
Pet 4:

Information of Pet You Are Applying For:



What is the name of the pet you are looking to get spayed/neutered?
How old approximately is your pet?
Is the animal a dog or cat?
What is the breed of your animal or possible breed mixes?
Is your animal a male or female?
What is the colour/colours of your animals fur?
What is the length of your animals coat?
What is the approx weight of your animal? Please specify in either kg or lbs.
Are you aware of any medical problems with your animal?
List if any, current medical issues your pet has.
Where did you get your pet and/or from whom.
Has your pet had any babies or fathered any babies?
How many litters has your pet had or fathered, if any.
State how many offspring your pet has had or fathered, if any.
State what happened to the offspring that your pet had or your pet fathered.

Other Questions:


Please supply TWO references who can verify your pet and need for assistance; both have to be non family members (co-workers, friends etc.)

Reference 1:
Reference 2:


Do you have the equipment to safely get your animal to and from the vet clinic?
Will you have any issues getting your pet to the vet clinic and back home on the day of his/her surgery?
Who told you or how did you find out about this program?
Have you had assistance from our shelter or another rescue, to help spay/neuter an animal?
Name the animal or animals you have had done under this program before and when.

Please make sure your notice of assessment can be clearly read before uploading.



Upload an image of your 2018 Notice of Assessment
Upload an image of any extra supporting documents.


Once your application is assessed, a staff member will contact you. If approved you will be provided with instructions as how to pay your portion of the spay/neuter and when you can proceed to book your appointment. Your fee is non-negotiable. We urge you to start saving and/or fundraising to ensure you are able to pay your fee.


By signing below, I hereby certify that I have thoroughly read this application and that the information I have stated is true to the best of my knowledge and that the above named animal is owned by me personally. I understand there is a fee I must pay upon approval, before being placed on the waiting list. I understand that the Gander and Area SPCA will only consider my application for the pet listed and that any other pets I have may not be considered eligible and any pet(s) I obtain hereafter will not be qualified to be spayed/neutered under the SNIP Program.

*
If you have a touch screen device, please sign here.

Today's Date.

SURGERY AGREEMENT AND WAIVER



I, being responsible for the pet described above, have the authority to grant the Gander and Area SPCA, Incorporated, hereinafter known as the “SPCA”, the Gander Veterinary Clinic and their representatives, my consent to receive, treat and/or operate on this pet.

I understand that while all procedures are to be done to the best abilities of the staff, no assurance or guarantee has been made of the results of any surgery or treatment, and that the risks and probabilities of complications exist in any surgical or medical treatment. I consent to the administration of anesthetics and/or other medications as may be deemed necessary by the veterinarian.

I will not hold the SPCA, its staff, nor the attending veterinarian and their staff responsible, should my pet contract any disease whatsoever.

If I fail to give the required 24 hour cancellation notice or if I fail to show up to my scheduled appointment, my application approval may become revoked and a new appointment can only be made with approval of the SPCA.

I will carefully follow pre-surgery and post-surgery instructions, including keeping my pet inside if a cat or on a leash and watched if a dog, prior to surgery and a period afterwards for recovery.

I will transport my pet safely and securely, in a pet carrier or on a secure leash.

I understand that the appointment covered by the SPCA, is ONLY for the pre-surgery blood work and the spay/neuter. I understand that any further costs that may arise, is solely my responsibility and the SPCA will not be responsible covering any of this cost.

I understand that if my pet is pregnant at the time of surgery, the litter will be aborted.

I understand that appointments for nursing mothers may only be made 6 weeks after the litter is weaned.



I HEREBY CERTIFY THAT I HAVE READ AND UNDERSTAND THE ABOVE AGREEMENT AND WILL COMPLY TO THE BEST OF MY ABILITY.

*
If you have a touch screen device, please sign here.

Today's Date.




FOR SPCA OFFICE USE ONLY

Date Recieved:
Approved?
Meet Income Cut-Off?
Special Circumstances?
Fee Amount Required:
Fee Paid? Date of Payment:
Surgery Date:
Notes: