• AWL NSW Logo

    Animal Care Truck Desexing Program

    Queanbeyan
  • Today's Date*
     - -
    2 digit day, 2 digit month, 4 digit year

  • You are applying for your Cat/ Dog to be apart of the AWL NSW Animal Care Truck Desexing Program in Queanbeyan. By submitting this applicaton you declare ownership of the animal identified below and have the authority to participate in the free desexing program. 

    Animal Welfare League NSW will incur all costs associated with the desexing surgery 

  • Is your residential address within the Queanbeyan-Palerang Regional Council*
  • Do you have an Age or Disability Pension*
  • Employment*

  • Do you have your own transport?*
  • How did you hear about the program?

  • Animal Details

  • Animal Type*
  • Does your animal have an existing microchip?*
  • Sex of Cat or Dog*
  • Is your female dog/cat pregnant? or has she ever had a litter?*
  • Where is your cat/ dog housed?*
  • When was your Female in heat/ season last ?*
  • Does your male cat/ dog, have 2 visible testicles.*
  • Does your animal have any existing medical conditions?*
  • Have you vaccinated your animal in the last 12mths?*
  • Has your Cat/ Dog had any behavioural issues in the past?*
  • Please tick the behavioural traits that best describes your animal.*

  • Owners Application Acceptance

    Please read and sign below, a member of Animal Welfare League NSW team will contact you within 7 days if your application is successful.
  • Would you like receive information from Animal Welfare League NSW, on future programs, news, fundrasing and events etc?*
  • If you are not the owner, you cannot proceed with the application.*
  • Date application submitted:*
  • I agree and consent to my information being collected and used in accordance with the Privacy Policy on www.awlnsw.com.au/privacy*
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