SNAP Surgery Permission Form Thank you for controlling the animal population of San Saba County by allowing us to spay/neuter them. You must check each box below to agree to each condition and sign the form.Consent(Required) 1. I give permission for my pet to be spayed or neutered at a clinic chosen by San Saba County Friends of Animals.(Required)Consent(Required) 2. I understand that I am responsible for a copay of $35 per dog and $20 per cat. The copay is due to the Clinic at the time of service.(Required)Consent(Required) 3. I understand that if my pet is pregnant there could be an additional fee added and due at the time service. I understand that if my pet is pregnant at the time of surgery, the pregnancy will be terminated. (Required)Consent(Required) 4. I understand that I must provide the Clinic with proof that my pet is current on their rabies vaccination. If my pet is not current on their rabies vaccine, I understand that I’m required to pay for the vaccination in addition to the copay to the clinic at the time of service.(Required)Consent(Required) 5. I will do my best to keep any animals in heat away from intact males for at least 7 days after the spay surgery as they will finish out their heat cycle and there is a risk of infection if breeding is attempted.(Required)Consent(Required) 6. I understand that the risk of injury or death, although extremely low, is always present when performing a spay/neuter because there is some risk associated with this procedure as well as the use of anesthesia. I am agreeing to release San Saba County Friends of Animals and the medical staff performing the surgery of any liability.(Required)How many pets?(Required)Please enter a number from 1 to 4.Pets Name(s)(Required) Cat or Dog?(Required) Cat Dog Phone Number(Required)Email(Required) Enter Email Confirm Email Name(Required) First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Signature(Required)Today's Date(Required) MM slash DD slash YYYY
