June Vaccine Clinic Sponsored by Petco Love

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Event Timing: June 14th - 5pm-7pm
Event Address: Nobleview Vet Clinic - 1002 Lexington Rd Suite 16, Georgetown, KY 40324
Contact us at 502-863-3279 or schscenter@yahoo.com for additional questions

Please use this form to sign up for a vaccination time slot.

Free vaccines distributed through the Petco Love initiative will be the DAPPv Canine and HCP Feline vaccines.

Rabies vaccinations are also available for $10 and microchips are available for $12.

Please list all animals names, species, and services you are wanting in the comment section.

By registering for the free vaccine, you are acknowledging that vaccinations will be given without the animal having a vet examination and that you release the vet, vet clinic and Scott County Humane Society from any liability from potential adverse outcomes from receiving the vaccination or microchip.

Name *

Address *

Phone Number

Email *

Please select an available time slot

*Only 1 slot is needed per person- all animals will be taken care of during your slot no matter the number of animals

Please list your pet's information below:

* Separate each animal with a comma *

Pet's Name

Species
*

Sex
*

Breed
*

Color
*

Spayed/Neutered
*

DOB or Age
*

Select the service(s) you would like to receive

*Select as many as apply *

Cat HCP Vaccine (FREE)

Dog DAPv 3 year Vaccine (FREE)

Rabies Vaccine ($10)

Microchip ($12)

Required

Select which option you would like to use as payment *

Pay at event

I would like to prepay ( A link will be emailed to you)

Only receiving the free vaccines - no need to pay

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms