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PET FOOD BANK
- PET FOOD BANK APPLICATION
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No Kill Louisville

We work with Louisville Metro Government, rescue organizations, and pet
owners to improve animal welfare & prevent unnecessary shelter killing.

**NOTE: It has come to our attention that there is an issue with the submission of this form, centered around the "optional" fields. Please fill out ALL fields, and if one doesn't apply to you, just mark it "n/a". Sorry for the inconvenience. Please e-mail us at petfoodbank@nokill-louisville.com if you have not heard back from us but previously filled out this form.

Name
Spouse or Partner Name
Name of person (other than spouse) you would like to authorize to pick up food for you
Full Physical Street Address
Phone Number
Email Address
Occupation
- Full Time
- Part Time
- Student
- Retired
- Unemployed
- Other
If other, please explain:
I/We currently live in a:
- House
- Apartment
- Condo
- Townhouse
- Trailer
- Other
Is your yard fenced?
How many people OVER the age of 18, live in the home?
How many people UNDER the age of 18, live in the home?
I or my spouse currently receive:
- Social Security benefits
- Food Stamps
- Medicaid or Medicare
- Unemployment
- I am employed
Who is your current veterinarian?
Where are your animals mainly kept?
- Inside
- Outside
- Inside part of the time - Outside part of the time
How many hours per day, do your animals spend outside?
- 2 hours or less per day
- 3-5 hours per day
- 8-10 hours per day
- 12 or more hours per day
Are you a care-taker of feral, community, or strictly outside cats? If so, how many are you feeding?
How many of the above cats were spayed or neutered by Alley Cat Advocates?
Are you currently fostering any animals for another organization, rescue, or shelter? If so, please list the names of those animals and the organization you're fostering for.
Are any of your animals being used for breeding purposes?
If so, please list the name(s) of those animals being breed.
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No Kill Louisville

PO Box 6655 , Louisville, Kentucky United States 40206

© 2014 No Kill Louisville. All Rights Reserved.