Low Cost Spay/Neuter Assistance Application – Pay In Person

All fields are required.

Contact Information




Animal Information

Please give the following information about each pet you wish to have spayed or neutered. $25.00 per pet to be paid in advance.



Animal #1 >


Animal #2 >


Animal #3 >


Animal #4 >

Waiver of Liability
By signing the below, I hereby release STAR, or any of its agents or officers, from any and all liability, claims or compensation arising out of the performance of the spay/neuter procedure, any unforeseen complications or damages caused to the animal(s) by these procedures, or any adverse reactions from vaccinations.

When you've finished filling out the above form, please hit the "Submit" button below. We will contact you soon to make arrangements for payment in person. Thank you!