Spay and Neuter Registration for Owned Pets
Complete the form below to the best of your knowledge (v2).

If your pet is already sterilized and you are looking for general veterinary care, please click on our FAQ/Affordable Care Resources page for information on affordable veterinary care and vaccinations.

Must be a current Minnesota resident and provide a valid MN ID at the time of appointment, along with proof of income qualification.

*Please submit a separate form for each animal.*

You will need to bring a carrier or kennel for your pet on the day of your appointment.

*Cash payment will be collected at check in on the date of your appointment. Fees can be found in the FAQ section.*

Don't forget to click the "submit" button at the bottom when you are done. Thank you!

First Name *
Please enter your name here. Do not enter your pet's name here.
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Must be a current Minnesota resident and provide a valid MN ID at the time of appointment
Your answer
Zip Code *
Your answer
Phone Number 1 *
Please use this format: 612-555-5555
Your answer
Alternate Phone Number
Please use this format: 612-555-5555
Your answer
Email Address
Please leave blank if you don't have an email address. We'll use your email address to send you information about your appointment. Note: If you do not receive your confirmation email within 1 week, please check your spam/junk folder.
Your answer
How did you hear about MN SNAP? *
Your answer
Your Pet's Name *
Your answer
Your Pet's Species *
Your Pet's Gender *
Your Pet's Breed *
Example: Black Lab, Poodle Mix, Siamese, DSH, etc. You may also enter "unknown".
Your answer
Your Pet's Approximate Age *
Your answer
What Color is Your Pet? *
Your answer
Where Did You Get Your Pet? *
Name of Your Veterinary Clinic *
Please write "none" if you do not have a vet.
Your answer
Is your pet current on vaccinations? *
Please bring all vaccination records with you when you check in your pet.
Is your pet pregnant or in heat? *
We DO spay pets that are in heat. There is no additional charge.
How many litters has your pet had? *
Has your pet ever been taken to a veterinarian? If yes, for what purpose?
Your answer
What form of proof of economic status will you bring to show that you qualify for MN SNAP services? *
You must be a Minnesota resident and provide a valid I.D. and proof of participation in one of the following needs-based public assistance programs or tax documents:
Comments or Questions
Your answer
Does your pet have any health conditions we should know about?
Your answer
Do you require that pain medication be dispensed in a child-proof container? *
Otherwise, we usually dispense it in a baggy or non-child-proof container. Cat pain killer will come in syringes and we can't put those in a child-proof container because they are too big.
Microchipping is Available
Our spay / neuter clients have the option of having a tiny microchip placed in their pet. Microchipping offers you the only truly permanent method of identifying your pet and linking the animal back to you. We charge $20 for this added service.
Would you like to Microchip your pet?
Microchip Contact Information
If you choose to microchip your pet you will need to provide basic emergency contact information in case your pet is ever lost. We will submit your name as the main emergency contact. You will need to update your contact information if you change your phone number. Please provide the name and number of an alternate contact below in case your pets is ever found and you can't be reached.
Alternate Emergency Contact Name:
Please give the name of someone else that can be contacted if you are not available. You must complete this question if you are microchipping your pet.
Your answer
Alternate Emergency Contact Phone Number:
Please give the phone number of someone else that can be contacted if you are not available. You must complete this question if you are microchipping your pet.
Your answer
Which Clinic Would You Like to Attend? *
Please select one of the available clinic dates below or choose "other" if you would like to have our office manager contact you to schedule at a location or date not listed. You can view our calendar with location details and maps at http://mnsnap.org/clinic-calendar/
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This form was created inside of Minnesota Spay Neuter Assistance Program.