Arctic Paws Registration 2022

APRIL 2022

We have a limited amount of appointments and surgery spaces. All requests will be reviewed and contacted via email. We thank you for your understanding.
Welcome to Arctic Paws!

We are a registered charity. Our prices are subsized. We charge enough only to cover our expenses.

Please take a moment to tell us about you and your pet.

A seperate form must be filled out for each pet.
The deposits will be applied to your final cost. Please send EMT to apclinics@hotmail.com

$80 non-refundable deposit is required to book each appointment.
- Includes a 20 minute health exam and basic vaccines
- Extra costs include:
  - Medication
  - Ear Cleaning
  - Nail Clipping
  - Anal Expression
  - Bloodwork
  - Ultrasound
  - Emergencies
$100 non-refundable deposit is required for all Spays & Neuters.

$300 = Dogs under 100 lbs

$400 = Dogs 100 lbs and over

$200 = Female cat spays

$100 = Male cat neuters
- Includes spay/neuter, basic vaccines, certificate of surgery, pain medication and an aftercare cone.
- You will be contacted with the amount owing for your spay or neuter.
- Only 10 sponsored spaces reserved for those in need.
Client Information
Owner's Names*

First NameLast Name
Co-Owner's Name

First NameLast Name
Address*

Street Address

PO Box Address

CityProvince/Territory

Postal / Zip Code
Phone Number*
Alternate Phone Number
E-mail*
example@example.com
Patient Information
Pet's Name*
Pet's Species*

DogCatOther
Pet's Gender*

FemaleMale
Is your Pet Fixed?*

YesNo
Breed
Date of Birth*
Month & Year
Has your Pet been Vaccinated for Rabies?*

YesNo
Year of Rabies Vaccine*
Appointment Information
What type of Appointment does your pet need?*

Spay/NeuterVaccinesCheck up - RegularCheck up - SeniorEar InfectionEuthanasia ConsultOther - Describe below
Other - Description
Spay/Neuter Information

Please fill this section out ONLY if you are requesting a spay or neuter
What is the weight of your pet?
Pet's weight (lbs)
Where did you adopt your pet?

Adopted locallyAdopted from the NWTSPCAAdopted from an SPCAPurchased from a Breeder
Is fixing your pet a part of your adoption agreement?

YesNo
If your pet is not fixed at this clinic, is it at risk of breeding?

YesNo
If your pet is a female, when was she last in heat?
Has your pet had any litters?

YesNo
If you are unable to pay the full cost of your sugery, only 10 spaces are available for those in need. You must apply before your surgery and pay a minimum of $100.
Sponsored Surgery Requests

This section is for people who are requesting additional funding support only.
Are you requesting a sponsored surgery?

YesNo
Income Sources

EmployedEI - Employment InsuranceStudent Financial AssistanceIncome SupportPensionNo Income
Provide reason for requesting financial hardship subsidy:
Required if you are requesting a financial hardship subsidy
Thank you for trusting us with your pet's health!

We will be contacting you through the email you submitted with more information on your appointment.

Questions? Email apclinics@hotmail.com
Should be Empty:

APRIL 2022

Client Information

Patient Information

Appointment Information

Spay/Neuter Information

Sponsored Surgery Requests