Pet Vaccine Clinic Registration**clínica de vacunas para mascotas**

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

**You will receive an email from LHeath1366@gmail.com with total cost once your registration has been processed**

Email *

Name

Nombre

Correo electrónico

Phone Number

Número de teléfono

Street Address

Dirección

City, State & Zip

Ciudad, estado y código postal

Pet Name

Nombre de mascota

Pet Species

Especies de mascotas

Dog

Cat

Pet Breed

Raza de mascota

Pet Age

Edad de la mascota

Pet Gender

Género de la mascota

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

*Package deals available for online pre-registration only. Full price per service item as of midnight 5/18

I understand that WTFR, Wal-Mart 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??

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