I have read and agree to all of the following:

1. I certify that I am 18+ years old.

2. I agree to pay per pet for microchipping services at the time of my appointment.

3. I acknowledge that this visit does not constitute a complete healthcare checkup and you should still establish a relationship with a local veterinarian.

4. I understand that a chip will be implanted under the skin of my pet and will be scanned to verify effectiveness at the time of the visit. I also understand that chips may migrate, break or otherwise de-activate over time and WVHS offers not guarantee as to the results, effectiveness or accuracy of the microchipping.

5. I understand that if my pet at any time becomes too aggressive for WVHS staff to safely handle you may be asked for assistance. This could be with assistance holding or placing a short-term muzzle. There will be an additional fee.

6. I understand if at any time my pet becomes too aggressive for WVHS staff to safely handle we may not be able to accomplish the microchip.

7. I understand that the microchip should be scanned each time I visit my veterinarian. I understand that in rare circumstances the microchip may travel or sustain damage and no longer be readable. If this is to happen, I understand that I would have to pay to have an additional microchip implanted.

8. I agree to indemnify and hold harmless West Valley Humane Society, the attending veterinarian, veterinary technician, any other WVHS employees and/or volunteers from any and all liability arising out of the performance of all procedures during my visit.

9. I accept that it is my responsibility to seek emergency care as needed or directed.

10. I understand the microchip clinic is an opportunity for WVHS to provide reduced cost microchips to community members. It is not a setting for comprehensive exams, consultations, diagnosis, treatment, medical concerns or other behavioral problems. I understand these need to be addressed by my family veterinarian.