Disaster Response Pet Shelter Registration

In the event of a disaster like Superstorm Sandy, NC SPCA's Disaster Response Program has established a disaster plan that coordinates with the American Red Cross to help shelter our county's pets while their owners shelter with the Red Cross. Our team is trained, equipped and well prepared for natural disasters. Inform your community on how to get prepared. Schedule a Pet Safe Program presentation.

If you’re not safe, then neither is your pet. For current watches, warnings and advisories visit Nassau County OEM.https://www.nassaucountyny.gov/OEM

Nassau County SPCA

Emergency Pet Shelter Registration

IMPORTANT, ALL FIELDS MARKED WITH AN ASTERISK (*) MUST BE FILLED OUT.

PET OWNER INFORMATION

NUMBER OF PETS BEING REGISTERED IN TOTAL? (For more than 4 pets, please contact us).

First Name

Last Name

Address

Cell Phone

If we cannot reach you in the event of an emergency, please list an emergency contact person below:

Emergency Contact Name

Emergency Contact Phone

PET 1: ANIMAL INFORMATION

Pet Name

Age

Species

Male or Female?

I hereby agree to hold harmless all persons, organizations, corporations, or government agencies involved in the registration, care, and sheltering of my animal(s) and to adhere to shelter guidelines.

Pet owner intake signature

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Date

Month

Day

Year

Please review your application and click submit.

___________________________________________________________________

FOR NC SPCA USE ONLY

Disposition - Reclaimed by Owner - To Be Completed By Leads Only.

NC SPCA Representative: _________________________________________

Intake Numbers Verified: __________________________________________

PET OWNER SIGNATURE: _________________________________________

DATE: ____________________________________________________________