Vet Clinic Registration

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Please fill in the form below to register your pet for vet services at the clinic.

Please note that 1 form per animal is needed.

DATE: May 26-31 2026

LOCATION: Long Lake #58 First Nation Hall

Email *

First and Last Name *

Phone Number *

Email *

Address

Town *

Postal Code

Which community are you a member of? *

Long Lake 58 First Nation

Ginoogaming First Nation

Other Matawa nation member

Greenstone resident - non Matawa first nation member

Pet Name *

Pet Age *

Dog or Cat *

Dog

Cat

Pet Breed *

Pet Colour *

Male or Female *

Male

Female

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