Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.
In case we cannot contact you, please list as many alternative phone numbers as possible. This gives your pet the best chance of being reunited with you! Please list Contact Name and Phone Number
Animal 1 - What is the name of your animal?
Is your animal a Cat or a Dog?
What is the Breed and Color of your animal?
What is the Sex of your animal?
How old is your animal?
Animal 2 - What is the name of your animal?
I hereby authorize and direct Hands 'N Paws Animal Assistance to implant a microchip in my pet(s) listed above. I fully release Hands 'N Paws Animal Assistance, its employees, and its agents from any legal and financial responsiblities, claims, demands, damages or actions arising from microchipping. Furthermore, I accept that my pet(s) may develop side effects after microchip insertion and that I must examine the site of injection over the next week. I understand that if my pet(s) develop any unanticipated problem following insertion of the microchip, it is solely my responsibility to seek veterinary care as needed or directed including any necessary veterinary care and the costs incurred thereof.
I have read and understood the Authorization and Agreement statement above. By inserting my name and/or signature with the date below, I agree to the statement.
Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.