Spay Jax 2026 Application Form

1. The above described pet lives at my home address. I agree that a representative EveryPet may contact me and a schedule a time to come to my home and verify this pet.

2. I attest that the above information is true and correct to the best of my knowledge.

3. I hereby consent to the pre-surgical rabies immunization, if required, and spay or neuter of the pet described above.

4. Animals that are spayed or neutered and vaccinated as a result of the Spay Jax program are the responsibility of the animal owners. I hereby agree that EveryPet, Spay-Jax, the City of Jacksonville, and the veterinarian performing surgery have no responsibility or liability for any injury or damage, or claims subsequent thereto, to any person, property, or animal, caused directly or indirectly by any of the participating parties.

5. I agree to participate in this program and agree to this waiver of liability. By inputting my first and last name and clicking on the consent button, I acknowledge that I have read and agree with the above statements.