Pet Vaccine Clinic Registration

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Event Timing: May 19th, 2024, 10a-1p
Event Address: Wallace Wal-Mart, 5625 NC-11, Wallace, NC 28466
Event Contact: Geri Romain, WTFR, GRomain@wagontailsfarm.org

**You will receive an email from WTFRTreasurer@gmail.com with total cost once your registration has been processed**

Email *

Name *

Email *

Phone Number *

Street Address *

City, State & Zip *

Pet Name *

Pet Species *

Dog

Cat

Pet Breed *

Pet Age *

Pet Gender *

Female

Spayed Female

Male

Neutered Male

Required

What would you like your pet to receive at the clinic? *

Distemper/Parvo Vaccine (dog/cat) FREE

Rabies Vaccine (dog/cat) $8

Bordetella Vaccine (dog) $15

Microchip (dog/cat) $15

Lepto Vaccine (dog) $15

Flea/Tick Topical (dog/cat) $10

HW Test (dog - your dog must be easy to handle) $20

Cat Special (rabies, chip) $20

Small Dog Special (rabies, bordetella, chip, HW test) $55

Big Dog Special (rabies, bordetella, lepto, chip, HW test) $65

Other:

Required

I understand that WTFR, Leland Brewing nor Tito's Handmade Vodka are responsible for any personal or property damage that may occur while out at this event, and I take full responsibility of keeping my pet(s) safe & under my control while at the event. *

Yes

Required

Are there any other vaccines/services you would like us to consider adding in the future??

Submit

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