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FIX-A-BULL APPLICATION

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FIX-A-BULL APPLICATION

The Fix-A-Bull program offers LOW COST spay or neuter surgeries for Pit Bulls and Pit Bull mixes. To qualify for this low cost service, you must:

Live in or around the Albany NY area.
Be the legal owner of your Pit Bull. Only owned Pit Bulls or Pit Bull mixes qualify for this program.
Submit a Fix-A-Bull Spay-Neuter Application.
Submit a recent picture of your Pit Bull.

In addition:

Only surgery related procedures are included. Vaccinations, medications, other treatments, microchipping and/or procedures are at the owner’s expense.
Determining whether your dog is a Pit Bull or not will be at the sole discretion of our staff. Documentation of breed history can be provided, but the final decision will be ours. Dogs determined not to be Pit Bulls will be subject to regular, spay-neuter prices.

Please fill out all required fields. You may save your application and continue it later if need be.

Applicant Information
Date*
Month
Day
Year
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Alt. Phone
Email*
Total Number of People in Household*
(adults & children)
Total Annual Household Income*
*You may be asked to submit financial or tax documents to verify income
How did you hear about Fix-A-Bull?*
I have other pets (not Pit Bulls) that need to be fixed. Please send me information on other low cost spay-neuter programs for other companion animals (dogs & cats).*
- Yes
- No
Pit Bull Information
Dog's Name*
Sex*
- Male
- Female
Age*
Mixed Breed?*
- Yes
- No
- Unknown
Color*
Approximate Weight (lbs)*
Has this pet received vaccinations?*
- Yes
- No
- Unknown
Date Last Vaccinated?*
If this dog is a female, has she had puppies?
- Yes
- No
If yes, what was the date of the most recent litter?
How did you acquire this pet?*
- Adopted from shelter/rescue group
- Found as a stray
- Given by a stranger (i.e. outside a store)
- Purchased from a breeder
- Purchased at a pet store
- Kept from a litter
- Purchased from an individual (i.e. Craig's List, Newspaper Ad)
- Other
File*
You Must Upload a Photo of Your Pit Bull for your application to be approved. You can also mail a hard copy photo to the address above. Please include your name and the dog's name.
Max. file size: 64 MB.
Verification
Please enter any two digits with no spaces (Example: 12)*
If you click the submit button and don't get a confirmation page, you have missed a required field. Please review the information above, the missed information will be highlighted in red.

Save and Continue Later

Out of the Pits, Inc.P.O. Box 2311
Albany, NY 12220Info@outofthepits.org

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