2. Garland County Spay & Neuter Application

4. Garland County Sheriff Office - 525 Ouachita Ave. Hot Springs, AR 71901
5. Garland County Library - 1427 Malvern Ave. Hot Springs, AR 71901
7. Date*
   Date
8. First Name*
9. Last Name*
11. Address*
12. City*
13. State*
15. Zip Code*
16. Phone Number
17. Work Number
19. Email Address
20. Driver's License #*
21. State*
23. Species:*
    -- Select One --DogCat
24. Sex:*
    -- Select One --MaleFemale
25. Age:*

    Age of Animal

27. Proof of Residency - Please show an Energy provider bill. Bank statement. Tax assessment. Photo ID. Mortgage statement. Certificate of voter registration.

28. Please bring this form to the above address. You will receive a list of participating veterinarians and a voucher for $50.00 off the cost of a spay or neuter.

30. I swear/affirm that these answers are true and correct to the best of my knowledge.

32. Signature*
33. Date:*
    Date:
Leave This Blank:


34. Print Only

* indicates a required field