CAT S/N SURGERY

December 16, 2025 | 9:00 am – 4:00 pm

Please submit this form to reserve your pet’s spay or neuter surgery at NCAL on December 16, 2025. Pets need to be safely secured in a cat carrier and dropped off at NCAL between 8:30 and 9:00 AM on December 16th.

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December 16 2025 S/N Clinic

THIS FORM IS FOR December 16, 2025 SPAY OR NEUTER CLINIC ONLY

"*" indicates required fields

OWNER / GUARDIAN INFORMATION

Owner/guardian’s full name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How did you hear about this NCAL program?*

Word of mouth

Online search

Looking through the website

Social media

Newsletter

Media outlet (radio, TV, newspaper, etc.)

Would you like to subscribe to our newsletter?*

Yes please!

No thank you.

Already receiving it.

ANIMAL INFORMATION

Pets name

Pets gender

Female

Male

Pets date of birth

Coat color/type and breed of cat if known (long haired, short-hair, medium hair)

Any previous vet or vaccine history - please provide as much information as possible

Upload any medical records if possible (if you can't upload it, please bring along to your appointment)

Drop files here or

Max. file size: 8 MB.

TYPE OF APPOINTMENT

What type of appointment are you requesting?*

Cat Spay (females)

Cat Neuter (males)

Additional services requested*

Rabies Vaccine (Additional $10 Charge)

Microchip (Additional $25 Charge)

FVRCP Vaccine (Additional $15 Charge)

Monthly Flea Treatment (Additional $10 Per Month)

None

Has your pet received vaccinations before?*

Yes

If you have copies of previous vaccine history please bring them with you or email them to clinics@ncal.com

Does your pet have any known medical concerns?*

Yes

We are unable to perform routine spay/neuter surgeries on animals with underlying conditions and we reserve the right to refuse surgery if an animal has severe health issues that make surgery unsafe or requires additional medications or monitoring.

Is your cat at least 3 months old and weigh at least 3 lbs?*

Yes

If your cat is smaller/younger than this, we recommend waiting to schedule surgery.

Female cats: Is your cat pregnant or nursing kittens?*

Yes

N/A - My cat is male

If your pet is found to have live fleas, a single dose of Capstar will be administered at time of intake. (at no additional charge)*

I understand

Capstar kills adult fleas only for 24 hours. Follow up monthly flea treatments will be needed for all animals in the home to resolve the problem.

APPOINTMENT CONFIRMATION AND DEPOSIT PAYMENT

Deposit and Payment Policy: A $50 deposit is due at time of booking, and the remaining balance is due on the morning of surgery. Credit card or cash is accepted.

Consent to Treat/Liability Waiver*

I understand

I am the owner / person to authorize veterinary treatment / surgery / sterilization for my pet. I hereby indemnify and hold harmless NCAL, their directors, employees, volunteers and assigns for any injury or illness to my pet while on the premises or any injury or illness that may occur after my visit as a result of the treatment / surgery received. I understand the risks inherent in treatment / surgery /anesthesia and sterilization and I accept those risks.

Spay-Neuter Clinic Application Disclaimer*

I understand

We are happy to offer discounted spay and neuter services to the Lamoille County community. NCAL is able to offer these services thanks to our generous donors, grants and a streamlined surgical process. As such, we are unable to perform routine spay/neuter surgeries on animals with underlying conditions and we reserve the right to refuse surgery if an animal has severe health issues that make surgery unsafe or requires additional medications or monitoring. If an animal's behavior makes handling by staff dangerous we will not be able to perform any services on the animal.

December 16th S/N Clinic Deposit*

Price:

To secure your appointment, a $50 deposit is required. If you are unable to pay the deposit at this time, please select "I will apply for assistance" at PAYMENT METHOD below and an NCAL employee will be in touch to discuss the options with you.

If you would you like to contribute to NCAL's Bunny Libby S/N Fund to support local pets, please enter your donation amount below:

In order to make our programming accessible for as many families as possible, we ask those with more access to resources to consider paying more tuition to help those with fewer economic opportunities.

Payment Method:*

Credit/Debit Card

I will apply for Assistance

Credit Card*

Cardholder Name

Card Details

Your Information:

Name

First Last

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

*Please feel free to skip if same as home address listed above

Check all that apply

I would like to cover the processing fee ($3)

Please email me the receipt

I do not need a receipt

Processing Fee

Coupon

Total

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