Positive Tails Veterinary Clinic Sign-Up 10-3-26

October 3 VETERINARY CLINIC SIGN-UP

Mott Haven Community Center, 375 E 143rd St, Bronx, NY 10454
THIS EVENT IS FULLY BOOKED

We appreciate your interest in the October 3 Positive Tails Clinic.

To join our waiting list please send your name, phone and the borough where you live to clinic@positivetails.org.

You will also be notified of upcoming events.

Thank you,

The Positive Tails Team
Contact Info:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Enter information about your pets below. Limit 3 animals per household.
How many animals will you be bringing to this clinic?
- Pet's Name: (1)
- Species: (1)
- Breed: (1)
- Color: (1)
- Age or Date of Birth: (1)
- Gender: (1)
- Is your animal spayed or neutered? (1)
- Are you interested in having your pet spayed or neutered? (1)
- Current on vaccines? (1)
- Taking heartworm preventatives? (1)
- Any allergies or history of vaccine reactions? (1)
- Is your pet microchipped? (1)
- If No, are you interested in having your pet microchipped? (1)
- Current diet: (1)
- Current medications: (1)
- Name of veterinary hospital that usually treats this animal: (1)
- Issues of concern/reason for bringing your pet to the clinic: (1)
- Pet's Name: (2)
- Species: (2)
- Breed: (2)
- Color: (2)
- Age or Date of Birth: (2)
- Gender: (2)
- Is your animal spayed or neutered? (2)
- Are you interested in having your pet spayed or neutered? (2)
- Current on vaccines? (2)
- Taking heartworm preventatives? (2)
- Any allergies or history of vaccine reactions? (2)
- Is your pet microchipped? (2)
- If No, are you interested in having your pet microchipped? (2)
- Current diet: (2)
- Current medications: (2)
- Name of veterinary hospital that usually treats this animal: (2)
- Issues of concern/reason for bringing your pet to the clinic: (2)
- Pet's Name: (3)
- Species: (3)
- Breed: (3)
- Color: (3)
- Age or Date of Birth: (3)
- Gender: (3)
- Is your animal spayed or neutered? (3)
- Are you interested in having your pet spayed or neutered? (3)
- Current on vaccines? (3)
- Taking heartworm preventatives? (3)
- Any allergies or history of vaccine reactions? (3)
- Is your pet microchipped? (3)
- If No, are you interested in having your pet microchipped? (3)
- Current diet: (3)
- Current medications: (3)
- Name of veterinary hospital that usually treats this animal: (3)
- Issues of concern/reason for bringing your pet to the clinic: (3)
- Preferred Timeslot: If you are bringing both dogs and cats choose one of the general time slots. Cat only slots are intended to provide a quieter environment for cats without the distraction of other pets. These are reserved for families only bringing cats.
- How did you learn about this event?
- Positive Tails Inc • PO Box 27192, Brooklyn, NY 11202
  clinic@positivetails.org • www.positiivetails.org
- Should be Empty:

October 3 VETERINARY CLINIC SIGN-UP

Enter information about your pets below. Limit 3 animals per household.