Big Bend Big Fix 15 Terlingua

Request for appointment - Big Bend Big Fix 15 Pop-up clinic in Terlingua, Texas 
Friday, April 7 & Saturday, April 8

NOTE: Please fill out a separate form for each pet

VERY IMPORTANT: DOUBLE-CHECK THAT YOU TYPED YOUR EMAIL ADDRESS AND PHONE NUMBER CORRECTLY on this form

* NOTE: REDUCED TO $129 * THE COST OF THESE SERVICES WILL INCLUDE:
- Surgery 
- Vaccinations including Rabies (declining these will not reduce the cost)
- Health/wellness check
- Simple treatment of minor issues
- Limited prescribed medications as needed

ADDITIONAL SERVICES:  
Wellness exams $25 (includes free vaccines - annual and Rabies!)
Microchips $10, Flea & Tick Treatment $10

You will receive a pop-up message once this form is completed and an email confirming your responses. Be sure to check your SPAM folder if you do not receive it.

***You will receive your appointment confirmation email with instructions and the clinic location ONE WEEK PRIOR TO THE CLINIC DATE (not before) from the address sn@alpinehumanesociety.org
Please respond to THAT email to confirm your appointment(s). We will attempt to call you if we do not get a response, so be sure to confirm your appointment and keep your spot! If you registered and do not get an email or phone call the week before the clinic by April 6, please check your SPAM emails and if you still do not see it, call 432-837-2532 to ensure that you are included.***

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Email *
First and Last Name (Owner of pet): *
I am requesting services as a: *
Phone Number: *
City: *
If you are a feral colony keeper, how many cats do you hope to bring and what day do you plan to be there? (You may skip the remaining questions)
Name of Pet: (required)
My pet is a: (required)
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Sex of Pet: (required)
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Breed of Pet (required for dogs only):
Approximate Weight of Pet (required for dogs only):
Age of Pet (required for dogs and cats):
Your pet should have vaccines every 12 months. Does your pet need vaccines? (required)
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Spay (females) or Neuter (males) services needed? (required)
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Do you want a microchip for your pet? (the cost is $10 additional to surgery, vaccination, health and medication services.) required
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We cannot guarantee which day your appointment will be because pets must be distributed by species and weight over the three days. However, if there is a day you cannot make it, we will try to honor your request but still include your pet. Please indicate: (required)
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A copy of your responses will be emailed to the address you provided.
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