Spay Day Reporting Form: Spay/Neuter Event (international)

Please report the results of your Spay Day spay/neuter event to us in order to be eligible to share in funds received from the Spay Day Online Photo Contest. DEADLINE FOR SUBMISSION: March 16, 2010

*1.	Question - Required - Name of your organization
*2.	Question - Required - Location of your organization (City, country)
*3.	Question - Required - Your name and email address, in case we have questions regarding your report
*4.	Question - Required - Number of female cats you spayed during your event(s). Enter "0" if none.
*5.	Question - Required - Number of male cats you neutered during your spay/neuter event(s). Enter "0" if none.
*6.	Question - Required - Any additional cats you spayed or neutered during your event(s) for whom gender was unclear/unknown/not made note of. Enter "0" if none.
*7.	Question - Required - Number of female dogs you spayed during your event(s). Enter "0" if none.
*8.	Question - Required - Number of male dogs you neutered during your event(s). Enter "0" if none.
*9.	Question - Required - Any additional dogs you spayed or neutered during your event(s) for whom gender was unclear/unknown/not made note of. Enter "0" if none.
*10.	Question - Required - Number of female rabbits you spayed during your event(s). Enter "0" if none.
*11.	Question - Required - Number of male rabbits you neutered during your event(s). Enter "0" if none.
*12.	Question - Required - Any additional rabbits you spayed or neutered during your event(s) for whom gender was unclear/unknown/not made note of. Enter "0" if none.
*13.	Question - Required - Additional animals you spayed/neutered during your event(s). Please note species, gender if known and number of each type of animal spayed or neutered. Enter "0" if none.
*14.	Question - Required - How many spay/neuter "vouchers" (coupons) did you distribute ahead of or during your event, for spays/neuters either during your event or sometime in the future? Enter "0" if none.
15.	Question - Not Required - If applicable, please state how much money you raised for spay/neuter during your spay/neuter event(s) (please state amount and currency). Note: This is just for our records and will not affect your funding.
16.	Question - Not Required - If applicable, please state approximately how many people you educated about spay/neuter during your spay/neuter event(s)
17.	Question - Not Required - Did your government issue a "Spay Day Resolution" (i.e. any kind of resolution or law) as part of your spay/neuter event? If yes, please mention what level of government (local, regional, national, etc.).
*18.	Question - Required - Humane Society International and The Humane Society of the United States have permission to publicize these results. Please select response Yes No
*19.	Question - Required - Please provide final details of (i.e. a description of) your event(s) here.
20.	Question - Not Required - Any questions, concerns or comments? Thank you for participating in Spay Day! You will hear from us by the beginning of April regarding any funds you will receive from the Spay Day Online Photo Contest. Meanwhile, if you have any photos of your event, we'd love to see them! Please send to spayday@hsi.org. Thank you again!