New Client Registration Form

I consent to be contacted via the communication method I select above (e.g., text or email).

Please indicate the following: Name; Breed; Birthdate/Age; Color; Sex (Male/Female); Spay/Neutered? Yes/No; Tattoo/Microchip? Yes/No; If so, please provide Tattoo and Microchip numbers

Please select one option for allowing permission or not allowing permission for Fraser Heights Animal Hospital to post photographs of your pet while visiting in the hospital.