District 9 Pilot Project Interest Form
The City and County of Honolulu has awarded the Hawaiian Humane Society a Grant-in-Aid to assist District 9  pet owners on government assistance, fixed incomes or experiencing homelessness. Potential services included free spay/neuter, pet vaccinations, microchips, flea/tick treatment and more.  This pilot project runs through September 2022.

If you live in Ewa Beach, Waipahu, Mililani or Kapolei, please fill out the interest form below and a member of our Pet Kokua outreach team will be in touch if you qualify.

Contact us at 808-356-2225 or outreach@hawaiianhumane.org for more information or for assistance in filling out the form.
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Email *
First Name *
Last Name *
Street Address *
City *
Zip Code *
Phone number *
Best way to contact you *
Are you currently employed? *
Are you a senior citizen aged 65 or older? *
Are you currently experiencing homelessness? *
Are you on government assistance? *
If you are on government assistance, what type? (Select all that apply) *
Required
Number of dogs 6 months and older (enter 0 if none) & estimated weight(s)
 *
Number of dogs 5 months and younger (enter 0 if none) & estimated weight(s) *
Number of cats 5 months and younger (enter 0 if none) & estimated weight(s) *
Number of cats 6 months and older (enter 0 if none) & estimated weight(s) *
Have your pets seen a veterinarian within the last year? *
If they have not seen a veterinarian, why not? *
Required
Are your dogs spayed/neutered? *
Are your cats spayed/neutered? *
What services would you be interested in (check all that apply)? *
Required
If you chose educational resources, what would like to learn about?
How did you hear about this program *
Do you have any other questions or comments you'd like to share with the Pet Kokua team?
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