Operation Save & Snip
Provided by The Pretty Pittie Committee. LIMITED AVAILABILITY. YOU WILL BE CONTACTED WITH AN ADDRESS AND TIME TO COME IF WE CAN SPAY OR NEUTER YOUR PET AT THIS SPAY/NEUTER EVENT.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please provide the Name, Age, Sex, Breed and approximate weight of your pet(s) you are applying for to be altered.
Who is your pet’s regular veterinarian?
How many unaltered pet’s do you have in your household?
Does your pet have any additional medical issues that we should be aware of?
Do you have transportation?
Is your dog current on regular vaccines and or Rabies?
Yes
No
Would you like these additional vaccinations at no cost to you? Please write yes or no.
Would you like a microchip for your pet? Please note, if you get a microchip YOU ARE RESPONSIBLE TO REGISTER IT on your own, and it is NOT a tracking device. And there a 10$ fee
Please Select
Yes
No
Do you understand this is a grant funded program and if you miss your appointment you loose your pet’s opportunity, and all monies given are NON-REFUNDABLE.
Do you consent to allowing TPPC to provide your information for a general information collection to keep this program running, your information will not be sold or given out for public knowledge. Please initial or sign below.
Do you consent to TPPC veterinarian to sedate your pet and perform surgery.
Signature
Date
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Month
-
Day
Year
Date
Submit
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