Spay Neuter Assistance Application

If approved, applications will be processed and mailed to your veterinarian on the 1st of the month and we will send you a confirmation email from rescueadvocates@americanminipigrescue.com.

Thank you for your interest in the American Mini Pig Rescue Spay and Neuter Assistance Program. Please submit an application for each pig in need of assistance. Application processing days are on the 1st 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.

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, Pigglz, and Pig Gear. We need your help to continue providing assistance to pigs in need! Donate at americanminipigrescue.com

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.

Approved *

Yes

Mailed

Phoned

Do you understand and acknowledge the application deadline listed above? *

Yes

Owner Contact Information

First & Last Name *

Phone Number *

Email Address: *

Do you represent a(n): *

Owner

Private Rescuer

Rescue Organization

Animal Shelter

Rescue Organization or Shelter Name (if applicable):

Rescue Organization or Shelter Website (if applicable):

Mini Pig Information

Mini Pig's Name: *

Gender: *

Male

Female

Mini Pig Color: *

Mini Pig Weight, Approximate: *

Mini Pig Age, Approximate: *

Is this pig microchipped? *

Yes

Microchip Number:

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. *

Yes

Please upload a photo of your mini pig for our website. *

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.

Veterinary Clinic Name: *

Mailing Address: *

City *

State *

Zip *

Veterinary Clinic Website: *

Email Address:

Additional Information:

Date of scheduled surgery: *

Estimated cost of surgery:

Are there any health concerns or complications? Please explain:

Are there any additional services or procedures being done? *

How long have you had your pig?

Is this your pet or a temporary foster? *

My Pet

Temporary Foster

Reason financial assistance is needed: *

Has someone donated to the Spay Neuter Assistance Fund on behalf of this pig? Please list name(s) if applicable.

How did you hear about the American Mini Pig Rescue Spay Neuter Assistance Program?

By submitting this form, I certify the information provided is accurate and complete to the best of my knowledge.