Spay Neuter Assistance Application

Next application processing date: July 1st for surgeries scheduled July 8th or later. Applications for surgeries earlier than July 8th will not be processed. 
Thank you for your interest in the American Mini Pig Rescue Spay and Neuter Assistance Program. Please submit an application for reach pig in need of assistance. Application processing days are the 1st & 15th of each month. If approved, a $50 assistance check and a microhip (if selected) will be mailed directly to your veterinarian to assist in this spay or neuter, so long as funds are available. Please ensure your appointment date, veterinarian's mailing address and contact information is accurate. Failure to provide accurate information may delay or void your eligibility for assistance.
**If the appointment date has already passed during application processing or if there is not enough time to mail a check to the veterinarian before your appointment (see dates in RED above), your application will not be processed or approved. Be sure your appointment date and veterinarian's address on application is accurate!**
The American Mini Pig Rescue's Spay, Neuter, and Microchip Assistance Fund is made possible in part by the support and efforts of the AMPA - American Mini Pig Association. 

Please DO NOT apply for assistance until you have a spay or neuter appointment scheduled with a cost estimate of the procedure, we will not be able to fulfill these requests
Do you understand and acknowledge the application deadline listed above? *
Owner Contact Information 
Do you represent a(n): *
Mini Pig Information 
Gender: *
Is this pig microchipped? *
If your pig does not have a microchip, would you like us to send one FREE to your veterinarian to insert during surgery? This will help us to reunite you with your pig if they are lost or end up at a shelter. *

Veterinary Contact Information: 
This information will be used to mail your veterinarian a $50 spay neuter assistance check. Please ensure all information is correct. Failure to provide accurate information may delay or void your spay neuter assistance eligibility. Assistance is only available to scheduled surgeries (not past surgeries) if we are given enough time to process the application and mail the check. 

You may also ask your veterinarian if they are a member of the American Mini Pig Education Veterinary Outreach Program and if they offer discounts for AMPA Members or rescue situations.
Additional Information: 
Is this your pet or a temporary foster? *
By submitting this form, I certify the information provided is accurate and complete to the best of my knowledge.