Fix Ur Cat Low-Cost Cat Spay/Neuter Program Application Date of Service: ______________ Application & payment must be received 1 week prior to service to confirm reservation. Name: ___________________________________________________________________ Address: __________________________________________________________________ City, State, Zip: _____________________________________________________________ Email: ____________________________________________________________________ Phone where you can be reached during the day in case of questions or emergencies: ___________________________
Complete all questions below for each cat that you are applying to spay/neuter Sex: Male Female Lifestyle of cat: Indoor Indoor/Outdoor Outdoor Feral Easy to handle Difficult to handle
Name of Cat: ________________________ Age: ________ Weight: ________ Breed: _________________ Coat: long short _____ Color: _________________ Date of Last heat: _________ Pregnant Has had a litter If so, when? _________ On medication If so, type/dose ___________________________ Has your cat been vaccinated? Rabies: yes no Distemper: yes no When? __________________ Where? ____________________
Other vaccinations and/or tests previously received: _______________________________
Who is your regular vet? :_____________________________________________________
Complete and return your application and check to: Pat Sphar – 2460 Old Washington Rd. – Pittsburgh, PA 15241 Money orders/checks should be made to: Michelle Bruce/Fix ur Cat Price list on back Vaccination records must be brought to the clinic when you bring your cat. One Cat per secure carrier please. We cannot accept multiple cats in carrier for their own safety. Fix ur Cat
This Low-Cost Spay/Neuter Mobile Resource Cat Clinic is sponsored by Animal Friends. The following costs are subsidized through their program. Cat Neuter / Spay Surgery package: $35* (Spay/Neuter, Rabies Vaccination, Flea and Ear Mite treatment where indicated, Pregnancy Termination, In-Heat Spay, and Eartip if indicated) Other Vaccinations / Services: Distemper (FVRCP)
Booster will be required via your own vet
Booster will be required via your own vet
Transportation Charge if being ferried by Fix ur Cat to Animal Friends: $5 *Clients should be financially prepared for extra services that may be needed. Please make us aware of any concerns you have about your pet when you make your appointment. Vaccinations If owners do not want a rabies vaccine to be administered to their pet, they must provide a current copy of the animal’s rabies vaccine certificate. Animals considered for surgery
Animals not considered for surgery Nasal
Pre-Surgery Fasting Instructions
Cats 5 months of age and older should have food and water pulled at midnight the night prior to surgery.
Kittens 4 months of age and younger should eat a small meal and drink water at 5:30 a.m. the morning of surgery. Food and water should be pulled at 6 a.m.
Trapped cats should receive food and water in the trap as per the above schedule. Trapped animals should be kept in a cool, dry, quiet location until delivered for surgery.
WAYNE STATE UNIVERSITY LOSS EXPERIENCE Claims Paid as of 12/31/2011 2008/2009 Policy Year Ultimate with Claims Paid Ultimate Loss Ratio Domestic International 2009/2010 Policy Year Ultimate with Claims Paid Ultimate Loss Ratio Domestic International 2010/2011 Policy Year Ultimate with Claims Paid Ultimate Loss Ratio Domestic
Policy 2642 STUDENTS Discipline Random Drug Testing Policy For the safety, health and well being of the students of the Harrisburg R-VIII School District, the district has adopted this policy for Harrisburg students in grades 7-12 who participate in extracurricular activities, co-curricular activities, and the student parking permit program. The objectives of the Harrisburg R-VIII School
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