Requested Date (Thursdays: 1/16, 1/30, 2/13, 2/27, 3/12, 3/26)

Second Choice Date

First Name*

Last Name*

Email*

Street Address*

Cell number* XXX-XXX-XXXX

Can you send/receive texts using this number?*
Yes
No

Cell Provider*
AT&T
Boost Mobile
Consumer Cellular
Cricket
MetroPCS
Sprint
T-Mobile
Verizon
Other

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Cat's Name*

Male or Female*
Male
Female
Can't Tell

Cat's Age*

Cat's Description* (color, pattern, breed)

Hair Length* (short, long)

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How many FVRCP (aka 3-in-1) vaccinations has your cat had?*

(Unless feral, all cats must have had one FVRCP shot at least 1 week prior to surgery. This vaccination is included in the price of the spay/neuter and will be given at the registration appointment. It protects against common upper-respiratory diseases.)

Date of last FVRCP/3-in-1 Vaccination*

Date of Last Rabies Vaccination*

Has your cat been tested for FeLV (feline leukemia)?*
Yes
No

Has your cat been tested for FIV (feline AIDS)?*
Yes
No

Do You Need to Rent a Hard-Sided, Plastic Carrier? ($10 to rent)*
(A hard-sided, plastic carrier is required for the surgery day – soft luggage bags or cardboard are not sufficient. If you don’t have one, you can rent one from us for $10)
Yes
No

Want Rabies vaccination? ($5; must be at least 3 months old)*
Yes
No

Want Microchip? ($15, includes lifetime registration, recommended for outdoor kitties and escape artists)*
Yes
No

Want FeLV/FIV? ($20, feline leukemia/feline AIDS test)*
(Recommended for all outdoor cats, and also for indoor cats if their origins were unknown and there are other cats in the household.)
Yes
No

Want FeLV ($30, feline leukemia) vaccinations?*
(Recommended for all outdoor cats. Includes 2 vaccinations. The first shot will be given on the surgery date; you will need to make an appointment with us for the second shot, which needs to be given one month later.)
Yes
No

How did you hear about us?

If you have more than one cat, please hit Send, and then fill out the form again for each cat. The time, date, and location of the required registration appointment will be in your confirmation e-mail.

It has come to our attention that our emails sometimes end up in people's spam folders. As soon as you click the Send button, an automated response email will be sent to the email address you submitted above. If you do not find this email within 5 minutes, please check your SPAM folder. Be advised that the follow-up emails, including the most important one one asking you to confirm scheduled dates, will likely also end up in your spam folder. We require a response to this email to finalize and hold your appointment. Dates are assigned "first-come, first serve," and we are scheduling several weeks out. Please check your spam folder!

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