Microchip Form

Next Chip Clinic 7/13/19 11am-2pm

@4th & Main St (Jess Park)

If you need a chip before then next clinic please contact WMAW directly

Please keep your dog on a leash or in appropriate containers the whole time they are at the clinic.

Cats MUST be caged.

Online Registration is closed

please sign up at the event

The owner name, email and phone number will all be used to set up you and your animal's account with www.found.org. They are a national chip registry that accepts any chip type and is connected to the national chip registry so your animal never gets deleted. They are Free for Life. 

Checking a chip is free, but if you would like to give a donation to WMAW it's greatly appreciated

If you have more than 2 Animals please let us know in the bottom box. Please provide Name, Species, Gender, Birth date, and Breed (max 2 breeds)

This information may assist in a situation where your animal is at a vet and they can provide appropriate care. You can edit this on your account at a later time if things change. 

**This form is not a payment form, If you want to pay now please go to the PayPal button on the right of this page.

Payments the day of must be cash or check.  If you want to pay with credit card please pre pay with paypal

© 2018 by Wet Mountain Animal Welfare LLC

PACFA Animal Rescue License #002JJV