Submit a Pet

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Pet's Name

Species

Cat

Age of Pet

Sex

Male

Female

Unknown

What color is the cat?

The Animal Is:

Owned

Friendly Stray / Community

Feral / Not Socialized

If female, has this animal ever had kittens?

Yes

No

Unknown

Is this the first time this animal has seen a veterinarian?

Yes

No

Unknown

Any current / chronic illnesses, injuries, or prior surgeries?

Yes

No

Unknown

Has this pet every had a reaction to a vaccine?

Yes

No

Unknown

If checked yes above, please describe:

Has this pet had a rabies vaccine?

Yes

No

Unknown

Please upload an image:

Do you understand that this program is for Hillsdale County residents only?

Yes

For Feral and Owned Animals- We require a credit card to hold your spot for Fix the Future. We require a $25 deposit for EACH ANIMAL.

In Consent to Having my Credit Card on file for Fix the Future. The information will be shredded after your appointment. Forms without credit card information will not be accepted.

I understand that the Credit Card Is only to hold your spot. We require cash upon arrival

President of GHHS will be reaching out via email at jabauer61@gmail.com she will also call you 24 hours prior to your appointment. Failure to confirm your appointment and you will lose your spot. Failure to bring your cats will result in a $25 charge.

Bissell Pet Foundation’s
Fix the Future®

SUBMIT A PET FOR Fix the Future®

Submit a Pet

Bissell Pet Foundation’s Fix the Future®

SUBMIT A PET FOR Fix the Future®

Submit a Pet

Bissell Pet Foundation’s
Fix the Future®