Lange Foundation
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  • About Us
    • Gillian Lange
    • Our Team
    • Transparency & Accountability
  • Adoptions
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    • Cats for Adoption
    • Dogs for Adoption
    • Your New Cat
    • Your New Dog
  • Locations
    • Halfway Home Kennel
    • St. Bonnie’s Sanctuary
  • Community Programs
    • Antelope Valley Safety Net Program
    • San Bernardino Intervention Program
    • South LA TNR
  • Resources
    • Veterinarian
    • Dog Trainers
    • Financial Assistance for Veterinary Care
    • Low Cost Veterinary Services
    • Low Cost Spay/Neuter Services
    • Services for Seniors, Military, and Disabled Pets & People
    • Pet Food Pantries
    • Spay/Neuter for Community Cats
    • Legal Assistance for Tenants with Pets
  • How to Help
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  • Contact Us
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San Bernardino Intervention Program

"*" indicates required fields

Pet Parent Information/ Información Del Padre De Mascotas

*Please complete one form per pet.
*Please email [email protected] with questions about required documentation.
*Por favor, complete un formulario por mascota.
*Envíe un correo electrónico a [email protected] con preguntas sobre la documentación requerida.
Name / Nombre*
Address / Dirección*
Max. file size: 512 MB.
Please upload a photo of your government issued photo ID with current address or recent utility bill with your name on it/ Por favor, suba una foto de su identificación con foto emitida por el gobierno con la dirección actual o suba una foto de una recibo reciente de servicios públicos con su nombre en ella
Does your pet(s) have a regular veterinarian? / Sus mascotas tienen un veterinario?*

Pet Information / Información de mascota


Species/ Especies*
What sex is your pet? / Que sexo es su mascota?*
Is your dog or cat / Su perro o gato es:*
Are you the pet parent? / Es el dueño de la mascota?**
Where did you get your pet from? / De donde consiguió la mascota?*
Is your pet current on vaccinations? / Está su mascota al día con las vacunas?*
Is your pet healthy? / Es saludable su mascota?*
Does your pet have any allergies? / ¿Tu mascota tiene alguna alergia?*
Does your pet have any other medical needs? / ¿Su mascota tiene ciertas atenciones medicas?*
Has Lange Foundation assisted you in the past? / ¿Lange Foundation le ha ayudado en el pasado?*
Max. file size: 512 MB.
This field is for validation purposes and should be left unchanged.

Halfway Home Kennel

phone: (310) 473-5585
fax: (310) 473-0157
[email protected]

2106 S. Sepulveda Blvd.
Los Angeles, CA 90025
Directions & Map

open everyday
11am – 5pm
by appointment only

St. Bonnie’s Sanctuary

phone: (661) 251-5590
[email protected]

27567 Oak Spring Canyon Rd.
Canyon Country, CA 91387
Directions & Map

open everyday
by appointment

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