Vaccine Clinic Registration Form

I give permission for my pet/s to be vaccinated and/or micro-chipped at Colorado Animal Rescue’s Low Cost Vaccination Clinic and acknowledge that such vaccinations and services do not constitute complete health care. It is essential that my pet receive a yearly physical examination. I also state that I have provided Colorado Animal Rescue with any known information regarding my pet's current health. I have informed Colorado Animal Rescue of any known illnesses, diseases, or vaccination allergies present in my pet.

I understand that vaccinations may cause unexpected reactions in pets. I agree to accept all risks of vaccinations and personally accept legal, medical and financial responsibility for all charges incurred as a result of such risks. I understand that Colorado Animal Rescue cannot provide any follow up care for my pet; in the event of an unexpected reaction you must seek medical attention from your regular veterinarian.

I accept that it is my responsibility to seek emergency care for my pet if needed, or as directed.

I hereby consent and authorize the licensed veterinarian, veterinary technicians, and/or their associates to provide indicated treatment to the animal or animals brought in on the date of the clinic. Colorado Animal Rescue (C.A.R.E.), their officers, directors, volunteers, employees, veterinarians, veterinary technicians or assistants, shall not be held liable or responsible, for any claims, liabilities, losses, damages, charges, fees, and expenses of any nature and character for which I or my animal/animals may sustain or incur by reason or on account of the attending, handling, treatments, vaccination, or micro-chipping the animal(s) brought in today. This release relates to any and all liability for personal injuries or death, property damage or property loss, injury to or death of any animal occasioned by or in connection with any activity related to this event. I authorize the use of vaccinations or micro-chips to be administered as indicated, and I am fully aware of the risks associated, and assume all responsibility. Accordingly, I hereby issue this Release From Liability as it is thoroughly understood and I have read the aforementioned vaccine reaction information provided to be by Colorado Animal Rescue.

I understand that if this is the first time that my pet is being vaccinated that he/she will need a booster on the vaccination in order for my pet to be truly protected against disease. The follow up booster needs to be given within 2-3 weeks after today’s date and this will need to be performed at your regular veterinarian.

I understand that if my pet (s) cannot be safely restrained for the procedure, then Colorado Animal Rescue cannot perform this service. You will need to follow up with your regular veterinarian.