By applying for this voucher and typing your "e-signature" on the form, you agree to the following.
>>>>Should this section even be included??? We are not doing the surgery!!!! Only the voucher. So they need to check with their vet before doing the procedure. Also this will be different for every vet.
My intention is to care for this animal for the rest of its life. If this is not the case and it is discovered that I have submitted false information, I will be billed for any amount of money that the Jurnee's Journey Foundation provided on my behalf, and I will be disqualified from any further assistance permanently. Vet hopsitals and clinics provide qualified staffing and approved materials for all procedures performed. It is important to understand that there is a risk of injury or death. This likelyhood is extremely low, is always present just as it is for humans to undergo surgery. By typing my "e-signature" below, I agree and understand to the following: 1. I am the owner or agent of the pet named above. I hereby request and authrozie the Jurnee's Journey Foundation and the vet hospital or clinic of their or my choosing to perform an operation of sexual sterilization of the animal named above through whoever veterinatian(s) they may delegate. 2. I understand that the operation I have elected presents some hazards, and the injury to, or death of, an animal may conceivably result, for there is some risk in the procedure, and some risk is the use of anesthetics and drugs provided for the procedure. 3. I either certify that my animal has been vaccinated within one year prior to this date, or waive my right to proteect my animal by having it vaccinated, or request recommended vaccinations at the time of surgery. I understand that it takes up to two weeks for vaccinatios to protect my animal. 4. I understand the inherent risks of failing to maintain current vaccinations and waive all claims arising out of , or connected with, the performance of this operation due to such failure. 5. While every precaution will be utilized, I understand in the event that if my pet develops kennel cough after surgery, I am responsible for treatment at my own cost. 5. I certify to the best of my knowledge that my animal is in good health and has had no food since 12:00 midnight the evening prior to surgery. 6. I understand that any vet, hospital or clinic has the right to refuse service to any animal to whom the surgery is deemed a health risk. 7. I understand that any vet, hospital or clinic many not perofmr a complete physcial examination before surgery is performed. I also understand that my animal will not receive pre-operative bloodwork, and waive my right to have this service performed prior to surgery at a full-serivce veterinatiran. 8. I understand that some factors significantly increas surgical risk, including, but not limited to pregnancy, heat, and diseases such as felince immunodeficiency virus (FIV), feline leukemia (FeLV), and hearthworms. 9. I undesrtand that if my animal is pregnant, the pregnancy withh e terminated at surgery. 10. I understand that if my animal has an ipen umbilical hernia, it will be repaired at the time of surgery at an additional charge of $10. 11. I understand that if I do not retreive my pet at the agreed-upon time, the JJF, vet and/or clinic will exercise the right to turn the animal over to the nearest animal shelter or rescue. Owners of pets left after the agreed date shall be charged a boarding fee of no less than $10 per night. 12. I understand that my animal may receive a small permanent tattoo on his/her underside to show that he/she has been sterilized. 13. I hereby release the JJF, all veterinarians, technicians, assistants, directors and employees from any and all claims arising out of, or connected with, the performance of this procedure or any adverse reactions from vaccinations. I agree that I have not and will not claim any right o compensation from them, or any of them, or file action by reason of such sterilization or attempted sterilization of such animal or any consequences related thereto. I hereby agrees to indemnify and hold the JJF and any above listed party harmless for any damages caused during the transportation of the animal, or for any damages caused by any unforeseeable events including, but not limited to, fire, vandalism, burglary, extreme weather, natural disasters, or acts of God.
What qualifies me for getting a voucher and what will make me stand out? Is it based on income, my statement of why I want the voucher, random lottery? Which vet can I go to? This voucher application is primarily for residents able to receive a surgery from MBM in Bristol, VA or Mountain Empire in Gray, TN. If you reside in another area or prefer another vet, please fill out the form and indicate which vet you intend to use.
ADOPT - SPAY/NEUTER - repeat
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