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Low Cost Spay/Neuter Clinic Application Form

  1. October 21, 2020 Clinic

  2. Responses to your application will be sent via email. Please add animalshelter@kingwilliamcounty.us to your contact list to make sure it doesn't go to spam! If you have not received an email in 1-3 days after applying, please call us at 804-769-4983.

  3. You may only sign up 2 pets per Clinic per family! Please fill out separate applications for each pet.

    We cannot accept any dogs over 80lbs. If your pet weighs over 80lbs at check-in, it will be turned away.

  4. Pet's Gender*

  5. Pet Species*

  6. Example: Hound, Lab mix, Beagle. If cat, please state

  7. If cat, does it have short hair or long hair?*

  8. If yes, please list Breed. If no, please state.

  9. If unknown, please estimate.

  10. If unknown, please estimate.

  11. Would your pet be considered overweight for their breed?*

  12. Has your pet had puppies or kittens recently?*

  13. Could your pet be pregnant?*

  14. If your pet is a male, are both testicles descended?*

  15. Does your pet have any medical conditions (vaccine reactions, allergies, drug interactions, heart conditions, etc)?*

  16. Are your pet's vaccines up to date?*

  17. If not, which vaccines will you be purchasing?*

    Rabies Vaccinations are REQUIRED if your pet does not already have one. Vaccine prices are paid directly to the PETA Van Staff upon pick-up. CASH OR CREDIT ONLY. $20 MINIMUM ON CREDIT CARD CHARGES.

  18. Would you be interested in any other low-cost services such as:*

    Other service prices are paid directly to the PETA Van Staff upon pick-up. CASH OR CREDIT ONLY. $20 MINIMUM ON CREDIT CARD CHARGES.

  19. If your pet has not yet been seen by a Vet, please state.

  20. Has your pet ever had a seizure?*

  21. Has your pet ever tested positive for Heartworm Disease or Ehrlichia?*

  22. Has your pet ever been diagnosed with a heart murmur?*

  23. In the past 2 weeks, has your pet had any coughing, sneezing, diarrhea or other signs of illness?*

  24. Is there a chance your pet may already be spayed or neutered?*

  25. Does your pet have any skin issues or irritation?*

  26. Has your pet bitten anyone in the last 10 days?*

  27. Leave This Blank:

  28. This field is not part of the form submission.