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PET FOOD BANK
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HOME
EVENTS
DONATE
HOW TO HELP
PET FOOD BANK
MERCHANDISE

No Kill Louisville

**NOTE: It has come to our attention that there is an issue with the submission of this form, centered around the "optional" fields. Please fill out ALL fields, and if one doesn't apply to you, just mark it "n/a". Sorry for the inconvenience. Please e-mail us at [email protected] if you have not heard back from us but previously filled out this form.

Name*

Spouse or Partner Name

Name of person (other than spouse) you would like to authorize to pick up food for you

Full Physical Street Address*

Phone Number*

Email Address*

Occupation*

Full TimePart TimeStudentRetiredUnemployedOther

If other, please explain:

I/We currently live in a:*

HouseApartmentCondoTownhouseTrailerOther

Is your yard fenced?*

How many people OVER the age of 18, live in the home?*

How many people UNDER the age of 18, live in the home?*

I or my spouse currently receive:*

Social Security benefitsFood StampsMedicaid or MedicareUnemploymentI am employed

Who is your current veterinarian?*

Where are your animals mainly kept?*

InsideOutsideInside part of the time - Outside part of the time

How many hours per day, do your animals spend outside?*

2 hours or less per day3-5 hours per day8-10 hours per day12 or more hours per day

Are you a care-taker of feral, community, or strictly outside cats? If so, how many are you feeding?

How many of the above cats were spayed or neutered by Alley Cat Advocates?

Are you currently fostering any animals for another organization, rescue, or shelter? If so, please list the names of those animals and the organization you're fostering for.

Are any of your animals being used for breeding purposes?*

If so, please list the name(s) of those animals being breed.

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No Kill Louisville

PO Box 6655 , Louisville, Kentucky United States 40206