SCFAW - Request for Services Application

Support the spay/neuter efforts in MA. Learn more...

If you have a problem completing this form please email us at scfawcontactus@gmail.com
If you prefer to print a form to fill out by hand and mail to us, please click here to download the printable version.

* Date:

* Name (first, last):

* Street:

* City/State: * Zip:

* Email: (or "none")

Phone #(include area code):
* Home: Work: Cell:

Please complete ONLY the section(s) below that pertain to the pet or pets that are in need of services:

Spay/Neuter for Pet Cats and vaccinations if needed

Preferred clinic location: Worcester - Thursdays Leominster - Tues & Weds Bellingham - Sundays	How many cats do you need spay/neuter for? Number of male cats: Number of female cats:	Does your cat have any health issues? No Yes If yes, please explain below:
Use this space if needed for anything else you'd like to tell us

Spay/Neuter for Stray or Feral Cats and vaccinations if needed

Strays (Friendly cats)	Ferals (Unfriendly cats)
Number of:	Number of:
Females	Females
Males	Males
Unsure	Unsure
Use this space if needed for anything else you'd like to tell us

Scratch's Patch-Up Fund

If this is a life threatening emergency please call your local vet or animal emergency center immediately

This program is for seriously ill or injured cats and dogs. Please give a brief description of the animal's problem:

Application can be printed and mailed to: SCFAW, PO Box 58, Stow, MA 01775