Desexing Program Application Form

Desexing Program Application form

Applicants Details
Your Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Telephone Number
Do you have a Centrelink card ?*
Please upload copy of Health Care Card/Pension Card
Accepted file types: jpg, pdf, png, gif, Max. file size: 64 MB.
If you would prefer to send this through once approved, you can provide confirmation of eligibility later by email.
Dog Information
Dogs Name*
Breed*
Sex*
Age*
Please upload certificate of microchip or council registration to provide confirmation of dogs sex
Max. file size: 64 MB.
Consent*
I agree
I understand I am submitting an application as the legal owner of the dog as part of Sweet Shepherd Rescue Australia Inc's Desexing Program and all information provided is true and accurate. I understand my application is subject to approval and is based on funding available.

Owners of male dogs will be reimbursed $100-00
Owners of female dogs will be reimbursed $200-00

SSRAI is run exclusively by volunteers. Due to most of us working full-time, the quickest way to gain a response is to send an email.

Applicants Details