First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Cell Phone*

How many females need to get fixed? How many males need to get fixed? If you cannot tell the gender of a cat please list them as 'unknown gender".*

Are you on some sort of government assistance? *
Choose one: No Yes

Animals have to be in plastic or fabric crates, traps, or cages, absolutely NO CARDBOARD carriers! We ask that your carrier be lined with a throw-away towel in the bottom, in case of urination or defecation accidents. The kittens of nursing mama cats need to be at least 8 weeks old before mama can be spayed. If it is an outside cat, bring it inside the night before surgery or you will not find it the next morning! Remove food at 10 pm the night before surgery, they can have access to water but not to food. No food on morning of surgery, animals must have an empty stomach. If they happen to eat anything on surgery day let us know, we can work around it. I have read an understand these instructions.*
Choose one: Yes No

Meeting point to be determined as 9LCR works with several clinics. On the day of surgery animal(s) need to be dropped off between 8-8:30 am. Pick up between 4:30 and 5pm in OXFORD.
Choose all that apply: These times work for me. These times only work for me on certain weekdays. These times do not work for me at all.

Unfortunately, we are currently out of funds and unable to subsidize the surgeries. We need you to pay the full price of $72-$120 per animal.*
Choose one: $120 $100 $70 $50 $35 Other amount-please mention in comment below

Is there anything else we should be aware of?