Rescue Me WV Operation Snip & Spay
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What County do you live in?
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What is the name of Dog 1?
*
Please give an approximate age of Dog 1.
*
What is the weight of Dog 1?
*
What is the breed of Dog 1?
*
Is Dog 1 a male or female?
*
Male
Female
Does Dog 1 have fleas?
*
Yes
No
Does Dog 1 need a Rabies vaccine during the spay/neuter? If you cannot provide proof of Rabies, the dog will be given one. There is no additional charge for this.
*
Yes
No
Does your dog have any health problems the veterinarian should know about?
*
If Dog 1 is a female, is she currently in heat, pregnant, or a nursing mother?
*
Yes
No
If Dog 1 is a male, are both of his testicles visible/dropped? (You can check this by feeling the sac to make sure you can feel two testicles.)
*
Yes
No
What is the name of Dog 2?
What is the age of Dog 2?
What is the weight of Dog 2?
What is the breed of Dog 2?
Is Dog 2 a male or female?
Male
Female
Does Dog 2 have fleas?
Yes
No
Does Dog 2 need a Rabies vaccine during the spay/neuter? If you cannot provide proof of Rabies, the dog will be given one. There is no additional charge for this.
Yes
No
Does Dog 2 have any health issues the veterinarian needs to be aware of?
If Dog 2 is a female, is she currently in heat, pregnant, or a nursing mother?
Yes
No
If Dog 2 is a male, have both testicles dropped? (You can check this by feeling the sac to make sure you can feel two testicles.)
Yes
No
Please tell us how you obtained this dog? ( Humane Society, Animal Control, From Social Media, Have parents on premises, or anything else)
*
Rescue Me WV only provides a voucher for spaying or neutering your pet. Rescue Me WV is not responsible for any medical complications or issues that may arise during or after the procedure. It is your responsibility to ensure that the designated veterinarians is qualified and suitable for performing the surgery on your pet. You must speak with the veterinarians' office to discuss any risks that may or may not apply to your pet and to discuss any concerns you may have prior to the procedure. By submitting this application and proceeding with the procedure, you agree to release Rescue Me WV from a liability or responsibility related to the spaying or neutering and vaccination of your pet with the designated veterinarian.
*
I have read and understand the above.
I understand that I will receive an email within 24 hours after submitting this application. It is important that you check your email inbox and spam folder for your letter from Rescue Me WV. This email will come from the email address, rmwv.kslone21@gmail.com. Failure to complete the directions in the email will result in your application being denied.
*
I have read and understand the above.
Submit
Should be Empty: