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Rock Glen Rabies Clinic Vaccination Form October 13, 2018

  1. County Seal (color)

  2. Wyoming County Rabies Vaccination Clinic

    Pre-Registration Form - October 13, 2018 Clinic Held at the Wyoming County Highway Department, Route 19, Rock Glen

  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.