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To register your pet with Vale Vets please use the form below.

Mandatory fields are shown in bold.

Title
Forename
Surname

Address
Post code

Home telephone number
Work telephone number
Mobile telephone number
Email address
Verify email address

We will have the ability to communicate with you via email and/or text. If you would be happy to receive emails with reminders and information about special offers, please tick the box provided. We can assure you that these details will never be passed to a third party.
I am happy to receive email and/or text
Information provided by you to Vale Vets Ltd contains data which is governed by the Data Protection Act 1998 and is subject to the provisions of this act. Vale Vets will process your personal data for the purpose of providing you with reminders and other practice information. We will not sell or disclose you personal data to any third party for any purpose.

Type of owner
Reason for choosing Vale Vets
Name of recommender
Details of recommender pet name/address etc.

Pet Number 1
Name
Species (Cat, Dog, Rabbit etc.)
Breed
Colour
Age
Sex
Neutered
Date last vaccinated
Date last wormed
Insured
Insurance company

to add another pet to this form