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Collier County Pet-Friendly Shelter Pre-Registration Form

Please correct the field(s) marked in red below:

DISCLAIMER: The Emergency Pet Shelter is an adjacency shelter, which means pets and pet owners are housed on the same campus but are housed separately. The shelter only accepts dogs and cats. All pets must be up to date on vaccinations. Pets may not be dropped off. Pet owners are responsible for the care of their animals pre and post storm and must bring food, water, crates, medications and comfort items for their pets. Pre-registration is mandatory and only individuals that are pre-registered and who are in mandatory evacuation zones or storm surge areas will receive automated phone calls notifying them the shelter is available. Pre-registration does not guarantee placement, because notifications as previously mentioned are made on the basis of mandatory evacuation zones and storm surge vulnerability. Pre-registration is suspended once there is a Tropical Storm or Hurricane Watch in effect for Collier County, at which time registrations are not accepted. ***Please fill in all the information on this form. We WILL need your information if you wish to have your pet(s) registered at the Collier County pet-friendly shelter.*** ***If you have more than three pets, you must fill out a secondary online registration form.***
Pet Owner's Name
Address (Ex: 14th Street NW, Naples, FL 34108)
Subdivision where your home is located (if applicable)
City
ZIP (MANDATORY)
Are you located on the east side (inland) or the west side (beach side) of U.S. 41?
Are you located on the east side (inland) or the west side (beach side) of U.S. 41?
Do you live in manufactured housing?
Do you live in manufactured housing?
Cell Phone Number
Local Phone Number
Emergency Contact (out of area) name, phone, relation
E-Mail Address
Pet Information for PET#1:

Animal type/breed (Ex: dog, Labrador) ***only dogs and cats accepted***

Name of Pet + Age + Sex ***Ex: Jake, 9 years, male***
Spayed / Neutered
Spayed / Neutered
Color - Primary color/secondary color (EX: brown and whit)
Required vaccination information - Please select current vaccines listed below ***All pets over 12 weeks old must have current Rabies vaccine***
Required vaccination information - Please select current vaccines listed below ***All pets over 12 weeks old must have current Rabies vaccine***
Pet information for PET #2:
Animal type/breed (Ex: dog, maltese) ***only dogs and cats accepted***
Name of pet(s) + age(s) + Sex(es) ***Ex: Jake, 9 years, male***
Spayed / Neutered?
Spayed / Neutered?
Color - Primary/Secondary
Required vaccination information - Please select current vaccines listed below ***All pets over 12 weeks old must have a current Rabies vaccine***
Required vaccination information - Please select current vaccines listed below ***All pets over 12 weeks old must have a current Rabies vaccine***
Pet Information for PET #3:
Animal type/breed (Ex: dog, maltese) ***only dogs and cats accepted***
Name of Pet / age / sex
Spayed / Neutered?
Spayed / Neutered?
Color - primary color / secondary color
Required vaccination information - Please select current vaccines listed below ***All pets over 12 weeks old must have a current Rabies vaccine***
Required vaccination information - Please select current vaccines listed below ***All pets over 12 weeks old must have a current Rabies vaccine***
I have read the rules of the shelter and acknowledge I must follow the rules.
I have read the rules of the shelter and acknowledge I must follow the rules.
New Multiple Choice Question
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