Spay & Neuter Application
Pet Name  *
What kind of surgery do you require?
 *
What kind of pet do you have?
 *
Pet Breed  *
Pet Age (Years)
Age (months)
Pet Color  *
Pet Weight in Pounds  *
Owner Name  *
Cell or Daytime Phone Number  *
E-Mail  *
Address  *
City  *
Zip  *
Where did you aquire your pet?  *

 *
E-collar  *
My cat or dog is at least four months of age. (Please initial this line that you have read and understand surgery requirements.)  *
My pet is not on any type of medication other than heartworm and flea preventative.(Please initial each line that you have read and understand surgery requirements.)  *
For my pet's safety, if five years of age or older, the animal must have been seen within the last six months by a veterinarian, records of exam, CBC and blood chemistry must be faxed (472-8859) or presented to the League .(Please initial each line that you have read and understand surgery requirements.)  *
My female dog is not in heat and my female cat or dog is not nursing puppies or kittens. I understand that if my animal is pregnant, the pregnancy will be terminated at surgery.(Please initial this line that you have read and understand surgery requirements.)  *
Pet can be bathed with oatmeal or hypoallergenic shampoo only - no harsh chemicals please.(Please initial this line that you have read and understand surgery requirements.)  *
My pet does not have any sores or injuries. I understand that the League will not perform surgery on my pet if it is found to be ill.( Please initial this line that you have read and understand surgery requirements)  *
I will not give my pet ANYTHING to eat four hours prior to surgery. Water is allowed. (Please initial this line that you have read and understand surgery requirements.)  *
I will drop-off my pet at 8:00a.m on the scheduled surgery date.There may be up to a 30-minute wait time.(Please initial this line that you have read and understand surgery requirements.)  *
As of 9/7/12 All pets can be picked up between the times of 5:00pm - 6:00pm.  *
I will pick-up my pet between 4:30p.m and 6:00p.m. the same day. I may request that my pet spend the night for an additional $10.00 fee (Please initial each line that you have read and understand surgery requirements.)  *
I understand that my pet may need to return in 10 to 14 days for suture removal.(Please initial each line that you have read and understand surgery requirements.)  *
I either certify that my animal has been vaccinated within one year prior to this date or I will purchase vaccinations, otherwise I waive my right to protect my animal by having it vaccinated. I understand that it takes up to two weeks for vaccinations to protect my animal. I understand the inherent risks of failing to maintain current vaccinations and waive all claims arising out of or connected with the performance of this operation due to such failure. (Please initial that you have read and understand).  *
Date  *

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