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2. Type of animal:*

   1. Dog
   2. Cat
   3. Other - please specify under 'Breed'
4. Date Lost:*
   Date Lost:
6. Breed:*
8. Color:*
10. Sex:*
12. Is your pet spayed or neutered?*

    1. Yes
    2. No
14. Age:*
16. Is your pet microchipped?*

    1. Yes
    2. No
18. Does your pet wear a collar?*

    1. Yes
    2. No
20. If you own a cat, do they live:

    1. Indoors
    2. Outdoors
    3. Both
22. If you own a cat, are they declawed?

    1. Yes
    2. No
24. Pet Name:*
26. Owner Name: *
28. Street Address*
30. Town*
32. Zip Code*
34. Municipality*
    -- Select One --ClaytonDeptfordEast GreenwichElkFranklinGlassboroGreenwichHarrisonLoganMantuaMonroeNational ParkNewfieldPaulsboroPitmanSouth HarrisonSwedesboroWashingtonWenonahWest DeptfordWestvilleWoodburyWoodbury HeightsWoolwich
36. Phone Number: *
38. Is it okay to give out this phone number?*

    1. Yes
    2. No

    In the event someone reports a found animal matching your pet's description, we will give them your phone number to get in touch with you. 

40. Additional information:

    Identifying features, collar color, tag numbers, etc.

42. Picture of your pet:
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field