Rascal Unit Cat Surgery Request Form

Rascal Unit Feline Spay/Neuter Surgery

Thursday, December 12, 2024
Submit ONE Form Per Pet
Reservations will be confirmed once payment for the services are received. You will receive an email confirming the appointment along with further instructions for drop off and surgery day care for your pet. Please add circleareahumane@gmail.com to your contacts list.

If payment is not received within 5 business days, your spot will go to the next person in line.

NOTE: A $30 non-refundable deposit per animal is required at time of signup to reserve your space. Deposit will be applied to total surgery cost.

Feline Spay / Neuter Non-Refundable Deposit:

Non-Refundable DepositTotal cost of male neuter + rabies is $60. Total cost of female spay + rabies is $70. Your deposit will be applied to this cost. Select your choice from the dropdown below.

$30.00

Administration FeePlease note that an additional $10.00 administrative fee will be added to the price of your visit to help with the cost of running the clinic

$10.00

Enter coupon

Total

$0.00

Email * Important! This is how you will pay to reserve your spot at the rascal unit**
example@example.com
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Where we can reach you on the day of surgery)*
Please enter a valid phone number.
Phone Number #2*
Please enter a valid phone number.
Cat's Name*
Age of Cat*
Is Your Cat:*

MaleFemaleUnknown (Stray)
Color/Breed of Cat*
Anything else you would like us to know?

Liability Waiver

Circle Area Humane Society Liability Agreement: I am the owner to authorize veterinary treatment/ sterilization for my pet. I hereby indemnify and hold harmless Circle Area Humane Society, their employees, board members, and volunteers for any injury or illness to my pet while on the premises or any injury or illness that may occur after my visit as a result of the treatment/ surgery received. I understand the risks inherent in treatment/surgery and sterilization and I accept those risks. I further understand that I must pick up my pet on the day of surgery within one hour of pickup time provided by Circle Area Humane Society. I understand that if my pet is not picked up at this given time (no later than 5:00pm) I will be charged $30 fee by Circle Area Humane Society for the care and boarding of my pet overnight and for each additional day that my pet is not picked up. I understand that the volunteers and employees of Circle Area Humane Society are not vets or vet techs and may not give me veterinary advice regarding my pet. In the event that I need veterinary advice, I agree to contact the RASCAL Animal Hospital. I understand and agree that I am responsible for any charges over and above the payment collected at the time of the scheduling of my pet’s appointment. THIS IS A LEGALLY BINDING CONTRACT
I agree to the terms listed above: (Initial Here)*

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Rascal Unit Feline Spay/Neuter Surgery

Submit ONE Form Per Pet

Liability Waiver