Canine Vaccine Clinic Registration

The Clinic will run from 10am to 1pm on Sunday August 20, 2023

at Coe Park in Torrington.

Please complete one form for each dog.

Owner's First Name

Owner's Last Name

Phone

Mailing Address

Dog's Name

Age, Sex, Weight, Breed

Does your dog display agressive behavior? Is he/she taking any medication? Is there any other behavioral or medical information we should know?

I accept terms & conditions of the Release of Liability Form & Photography WaiverView Form

By signing his form you agree that keeping copies of any records you receive from this free vaccine clinic are your responsibility to maintain. You acknowledge that if you (or any Animal Control Office or any Veterinary Clinic) needs to contact the Little Guild for copies of the records that you will be responsible for a $25 administration fee payable to the Little Guild prior to copies being provided.

Signature

REGISTER NOW!

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