Online pets registration - The Eastern Townships SPA - Shelter

Caretaker Identification

First Name *

Last Name *

Date of Birth *

Email *

Phone Number *

EMERGENCY phone number

Who is reached at this number (you, friend, etc.)?

Address *

City *

Postal Code *

Animal Description

You would like to register:

Cat

Dog

Name *

Attach a photo of the animal (gif, jpg, jpeg, png) max 2MO

Choose File

Breed *

Colour *

Distinctive Signs *

Gender *

Mâle

Femelle

Date of birth *

Does your pet have a microchip? *

Yes

Non

Microchip Number

Is your cat spayed or neutered? *

Yes

Non

Attach proof of sterilization (to obtain the discount)

Choose File

Name *

Attach a photo of you dog (gif, jpg, jpeg, png) max 2MO

Choose File

Breed *

Coulour *

Distinctive signs

Gender

Mâle

Femelle

Date of Birth *

Weight (kg or lbs) *

Is the weight in the previous question in lbs or kg? *

lbs

Does your pet have a microchip? *

Yes

Non

Microchip Number

Is your pet vaccinated against rabies? *

Yes

Non

Date of last rabies vaccination

Has your pet ever been registered in another municipality? *

Yes

Non

if YES, please list municipalities

Has a municipality issued an order (custody standards) for this dog? *

Yes

Non

Attach a copy of the order

Choose File

Is your pet spayed or neutered? *

Yes

Non

Attach proof of sterilization (to obtain the discount)

Choose File

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