EmailMe Form - Barkfest 2022: Microchip Clinc

Barkfest presented by

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

Province *

Postal Code *

Phone *

### - ### - ####

Email Address *

Pet Name *

Species *

Dog

Cat

Breed *

Age *

Sex *

Female

Male

Has your pet been spayed or neutered? *

Yes

No

Unknown

Size *

Small

Medium

Large

Main Colours *

Please select all that apply

Microchip and License ($45)

Microchip Only ($30)

Please let us know your approximate preferred drive-thru time. (Please note that we cannot guarantee times but we will try our best!)

10am to 11am

11am to 12pm

12pm to 1pm

No preference

Would you like to make a donation with your registration?
(Donations over $20 will receive a tax receipt.)

$ Dollars

Would you like to receive more information about the Humane Society's new Adoption Centre project.

Yes