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Community Animal Health

We are breaking the paralysis of waiting for outside help. This portal allows us to organize grassroots logistics, safely transport animals to clinics, and map out the urgent welfare needs of Haarlem’s pets. Register your pet below.

🗺️ View Live GPS Map

Pet Owner Registration

1. Owner Contact Information

Owner's Full Name

Telephone Number

Physical Address (for outreach/pick-ups)

Exact GPS Location (For Mapping) Volunteers mapping the area: Tap this while standing at the respondent's home.

Preferred Contact Method

Call WhatsApp SMS

Haarlem Animal & Pet Census

Which pets and how many of the following do you have?

Which of the pets have already been sterilized?

Would you like to sterilize any animals?

Yes No

2. Animal Profile (Pet 1)

Type of Pet

Dog Cat

Pet's Name (If applicable)

Sex of Animal

Male (Quicker procedure) Female I don't know

Estimated Age / Life Stage

3. Reproductive Status (Targeting Spay Timeline)

Current Reproductive Status (Females Only)

If nursing, how old are the puppies/kittens? (To determine weaning/spay eligibility)

4. General Health, Vaccination & Basic Care

Vaccination History to Date:

Is the animal currently showing signs of illness?

Vomiting / Passing blood Lethargy / Heavy Ticks Injuries / Wounds Pale gums Diarrhea Animal appears healthy

Living Conditions

Chained / Tied Up Free Roaming Enclosed Yard

5. Logistics & Consent

Transport Availability for Clinic

Owner can transport pet Owner requires volunteer transport Owner has vehicle and can help transport others

The owner gives verbal consent for this animal to be evaluated and sterilized.

6. Student Observations

Observations / Notes (Free Text)

7. Sterilization Consent Signature

Date of Signature

Please sign below to provide digital consent: