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Attica Rabies Clinic Vaccination Form July 18, 2018

  1. County Seal (color)

  2. Wyoming County Rabies Vaccination Clinic

    Pre-Registration Form - July 18, 2018 Clinic Held at the Attica Town Highway Department, Route 98, Attica

  3. Resident of Wyoming County*

  4. Species*

  5. Sex*

  6. Neutered*

  7. Age*

  8. Weight*

  9. Previous Rabies Vaccination*

  10. Instructions:

    At the Rabies vaccination clinic please report to the pre registered line to obtain your rabies vaccination certificate which will be on file. Once you have that certificate you will be permitted to obtain rabies vaccination for your animal.

  11. Leave This Blank:

  12. This field is not part of the form submission.