Stay SAFe Pet Pantry Supply Request Form

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Stay SAFe Pet Pantry Supply Request Form

Through the Stay SAFe Pet Pantry, Seattle Area Feline Rescue helps support pet owners by providing supplemental assistance with pet food and other supplies for up to five (5) pets. If you're in need of supplies, please complete this form to tell us a little bit more about you, your household, your pets and the assistance you need. Our Community Support team will then reach out to you in several days via your preferred contact method and discuss what assistance we may be able to provide and schedule an appointment to pick up your supplies!

If you have previously submitted this form, please reach out directly by email, phone or text to request food or supplies - you do not need to fill out this form multiple times!

Email: support@seattleareafelinerescue.org
Phone: (206) 582-2622
Text: (833) 210-7797

Please reach out to us if you have any questions, we're here to help!

Email *

Owner Information

The following questions provide us with some basic information about you as an individual, as well as how to best get in touch with you.

Please note: There are varying demographic questions on this form. Answering these questions is not required by any means and will have no impact on your request. These questions are asked to help us gather data to better serve our community through grants and other funding sources. All information is confidential.

First Name *

Last Name *

Street Address *

If you're currently living unhoused, please enter the nearest address or cross street to where you're currently residing.

City *

State/Province *

Postal/Zip Code *

Phone Number *

Please enter a valid phone number.

Alternative Phone Number

Please enter a valid phone number.

Preferred Contact Method *

This is the primary method that we will use to contact you to schedule appointments, send you relevant information, etc.

Phone call

Text message

Do you have consistent internet access?

Yes

Clear selection

What is your primary language?

All demographic information collected is confidential and is only used to help us better serve our community.

English

Spanish

Chinese (incl. Mandarin, Cantonese, etc.)

Tagalog (incl. Filipino)

Other:

Clear selection

Are you a veteran or active duty military?

All demographic information collected is confidential and is only used to help us better serve our community.

Yes

I prefer not to say

Clear selection

What is your employment status?

All demographic information collected is confidential and is only used to help us better serve our community.

Full-time

Part-time

Student

Retired

Unemployed

Self-employed

I prefer not to say

Clear selection

Are you of Hispanic, Latino, or Spanish origin?

All demographic information collected is confidential and is only used to help us better serve our community.

Yes

Unsure

I prefer not to say

Clear selection

What race(s) do you identify with?

All demographic information collected is confidential and is only used to help us better serve our community.

White

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiian or Pacific Islander

I prefer not to say

Other:

Do you identify as a member of the LGBTQIA+ community?

All demographic information collected is confidential and is only used to help us better serve our community.

Yes

I prefer not to say

Clear selection

Do you identify as disabled or differently abled?

All demographic information collected is confidential and is only used to help us better serve our community.

Yes

I prefer not to say

Clear selection

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