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Rock Glen Rabies Clinic Vaccination Form October 3, 2020 9:30am - 10:00am

  1. County Seal (color)

  2. Wyoming County Rabies Vaccination Clinic

    Pre-Registration Form - Saturday, October 3, 2020 Clinic Held at the Wyoming County Highway Department, 4328 Route 19, Rock Glen. 9:30 am - 10 am vaccination time

  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.

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