Online pets registration - The Eastern Townships SPA - Shelter

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 *

You would like to register:

Cat

Dog

Name *

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

Breed *

Colour *

Distinctive Signs *

Gender *

Mâle

Femelle

Date of birth *

Does your pet have a microchip? *

Yes

Non

Microchip Number

Is your pet spayed or neutered? Please provide proof to receive the discount. *

Yes

Non

Attach proof of sterilization (to obtain the discount)

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