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2. 
3. Assistance Needed-Feeding/Watering in Place

   This service is for those impacted the Gray Rd and Oregon Rd fires.

5. First Name
6. Last Name
7. Phone Number
9. Address

   Where the assistance is needed

11. City
12. Zip Code
14. Quantity and Species

    Please include all animals that you need the assistance for, i.e. 5 sheep, 10 cows

16. Food needed?

    1. Yes
    2. No
17. Types of acceptable food

    Please list multiple options as not everything may be available

19. Quantity of food needed per day

    Add in any details of how to feed the animals.

21. Water needed?

    1. Yes
    2. No
22. Do you need buckets/stock tanks? If yes, how many of what size?
24. Any food allergies to be aware of?
26. Do you anticipate needing longer term assistance?
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field