🐾 KA-PAW-N Mission Registration Form

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🐾 KA-PAW-N Mission Registration Form

🎯 Objectives: "Helping Paws Through Affordable Care"

To reduce stray dog and cat populations in the community.
To educate pet owners about the importance of spaying and neutering.
To provide accessible and affordable sterilization procedures.
To promote responsible pet ownership and animal welfare

👤 Pet Owner Information *

Name of Owner

Complete Address
*

Contact Number
*

🐾 Pet Information

Pet's Name

Species *

DOG

CAT

Required

Gender *

Male

Female

Required

Age *

Weight *

Option 1

💵 POSSIBLE ADDITIONAL CHARGES:

Scrotal Ablation (Male Dog)
Inguinal Castration (Cat)
Inguinal Castration (Dog)
Pyometra (Dog) (*Accidental Finding)
Pyometra (Cat) (*Accidental Finding)
Pregnant (Dog) (*Accidental Finding)
Pregnant (Cat) (*Accidental Finding)

Prescribed medications

Excess kilo > 5kgs in Dogs and 3kgs in Cats

** PLUS 100 PESOS PER KILO**
Other medications needed

💊 PRESCRIPTION MEDICINE:
Antibiotic syrup

Antibiotic tablet

Anti-Inflammatory syrup
Anti-Inflammatory tablet

Wound Cream
E-collar

(Prescripted medication will be given and available on the KA-PAWN DAY)

⚠️ Note: *Accidental Finding — refers to a condition discovered only during surgery. We do not recommended proceeding with surgery in patients with existing health problems, as this may lead to sepsis or death. Such cases are best handled in a veterinary clinic or hospital. This is why a CBC is recommended before surgery.

⚠️ Risk and Anesthetic Disclosure

🎯 Spay/neuter surgery requires general anesthesia.

🎯 While complications are rare, there are inherent risks, including but not limited to infection, bleeding, delayed recovery, or(extremely rare cases) death.

🎯 The veterinary team will use professional judgement and available resources to ensure your pet’s safety.

🎯 This service is provided as-is, with no additional diagnostics or advanced monitoring unless otherwise indicated and agreed upon.

🎯 Anaphylaxis/allergy to anesthesia is one that blood test can give little to no help, this happens in one (1) per 100,000 pets.

💡GUIDELINES FOR POST-OPERATIONAL CARE:

✅ NO Food and Water for 3 hours to prevent vomiting due to upset stomach.

✅ NO strenous activity after surgery for 14 days.

✅ NO bath for 14 days.

✅ Put e-collar at all times to prevent licking the wound.

✅ Take home medicine shall start a day after surgery.

✅ Report immediately unusual observation.

💡REMINDER:

✅ Must be perfectly healthy, active and shows no health issues.

✅ Secured cage or carrier for cats and leash for dogs with name-tags is required and bring underpads.

✅ Kapon age starts at - Male (8 months) & Female (8 months) up to 2 years old only. Pets outside this age range will not be eligible for the procedure or will be required to undergo comprehensive blood chemistry testing prior to approval.

✅Atleast 8 hours fasting no food & water but not more than 12 hours before surgery.

✅ Drop-off time will be at 9:00 AM and payment will be on-site

✅Prescription will be given and will be available on site

✅ Cbc blood test is a must. This can be done on site.

✅ All Cats are required for ear markings (Notch or Tattoo).

Other Services Offered:

• Deworming
• Anti-Rabies Vaccination

🏦 MODE OF PAYMENTS:

(1) Cash
(2) G-cash
(3) Bank Transfer - (BPI, BDO, PayMAYA)

(4) Debit Card

👥 CONTACT PERSONS (For inquiries):

0919-001-3013 / 0917-872-0013 (LOOK FOR AIWA)

I UNDERSTAND that there will be ADDITIONAL CHARGES in case of ACCIDENTAL FINDINGS.

I AGREE with the GUIDELINES and REMINDER stated above.

Required

✅ Consent and Waiver *

I hereby give permission for my pet to undergo SPAY OR CASTRATION surgery as part of the KA-PAW-N Project event. I understand and accept the risks associated with the procedure including anesthesia, surgical complications, and post-operative care requirements. I also agree to follow the post-op care instructions provided by the attending veterinarian.

I will not hold the clinic and its staff liable for any unexpected results, loss, or injury during or after the procedure.

Signature of Pet Owner/Guardian: _______________________________
Date: ___________________

I agree in the consent stated above.

Required

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