Registration Form

To register for your FREE Pet I.D. Tag & Lost Pet Recovery Services,
(generously provided by the Humane Society of Canada Pet Recovery Team)
please fill out this form and return to:
Humane Society of Canada
Pet Recovery Team
40 Dundas St W Suite 227B
PO Box 16 Toronto ON M5G 2C2
OR Fax to: 1-416-368-1948

OWNER’S INFORMATION

Owner's Name:

Address:

City:                               Prov/State:

Postal/ZIP Code:                    Country:

Home #:                             Work #:

Cellphone #:

Email:

 PET’S INFORMATION

Pet's Name:

Age (approx birthdate):

Type of Pet: (please circle/specify) Dog          Cat          Other 

Breed of Pet:
(* If you are unsure about the breed, or for mixed breeds, please ensure description information below is completed in detail)

Gender: M   F       Spayed/Neutered?: Yes  No 

Colouring:

Size: XS  S  M  L  XL 

Scars, or distinguishing marks:

Medical information: Please describe any medical concerns/problems (ie: diabetic, allergies etc)

Currently taking medication: (list medication and dosage)

Please provide details for any of the following that apply:

Microchip                     Tattoo 

Other tags 

Photo of Pet Included? (enclose with registration form when mailing)    Yes      No           

Privacy: This service is generously provided by the Humane Society of Canada Pet Recovery Team. Creature Comfort is proud to support their efforts by increasing public awareness of this service, as part of our mission: “working together to provide creature comfort for animals in need”. Any information submitted on your registration form is kept strictly confidential, will not be shared with anyone other than members of the pet recovery team, and will only be used to help return your lost pet to your family.