Clone of Community Fun Application Form

Rabies Vaccination Form

Oct. 30th | 4 pm - 6pm | Hibbing Precious Paws Humane Society of Chisholm| 101 SW 1st Ave, Chisholm. Use the Bretta's Pantry door facing the Jubilee Foods parking lot. Rabies vaccination certificates are require. If you do not have one, please explain why in the box below. Do NOT fill this form out if you want a photo done! Nail trims are $10 per animal.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
Upload a copy of your animals Rabies Vaccination certificate. Vaccination must be current on the certificate or you can bring it the day of the event (if you choose to bring it, please note that in the box below this one).

Cancelof
If you do not have a current rabies vaccination form, please explain why below or note that you are bringing it the day of.
We will follow-up with a phone call with any questions/concerns and to let you know that we received your form. If you do not hear from us within 1 business day, please call 218-254-3300.
I hereby release Precious Paws Humane Society of Chisholm harmless and to release Precious Paws Humane Society of Chisholm from any liability related to nail trims and/or pictures. I acknowledge that I may be turned away from the nail trims and/or pictures if my animal is aggressive or if I do not have the proper paperwork/reason why there isn't a rabies vaccination form. I understand that Precious Paws Humane Society is not responsible for any injuries that may occur while on shelter property.*

Powered by Jotform SignClear
Should be Empty:

Rabies Vaccination Form