AKC Reunite Microchip Enrollment - Lucky Chance Rescue

MICROCHIP ENROLLMENT

Lucky Chance Rescue Pet Information

Microchip ID#(Required)

Lucky Chance Rescue Pet Name(Required)

Birth Date(Required)

Spay/Neuter

Pet Species

Pet Breed

Gender

Photo of Pet

Accepted file types: jpg, jpeg, png, gif.

Color/Markings

ADOPTER PET INFORMATION

The Primary Contact is the first person AKC Reunite should call when this lost pet is found.

Pet Name

Recent Pet Photo

Accepted file types: jpg, jpeg, png, gif.

Primary Phone

Primary Name

The Primary Contact is the first person AKC Reunite should call when this lost pet is found. Please fill out the form below with the information for the person you want to be the enrollment primary contact.

Primary First Name Primary Last Name

Primary Email

Primary Email Confirm Email

Alternate Name

The Alternate Contact is the person AKC Reunite should call when they cannot reach the primary

Alternate First Name Alternate Last Name

Alternate Phone

Alternate Email

Home/Shipping Address

Street Address City State ZIP Code

VETERINARIAN INFORMATION

If your pet is found, your veterinarian on record will be contacted

Veterinarian Phone

Veterinarian Name

SUBMIT YOUR ENROLLMENT INFORMATION!

If your pet is microchipped but not enrolled, then they are NOT fully protected. Lucky Chance Rescue will always be contacted if your pet is found, however if they go missing then AKC Reunite won't be able to identify the lost pet is yours. Once Lucky Chance Rescue receives this information, we will enroll/update your microchip information. There is NO COST TO YOU!

Phone

This field is for validation purposes and should be left unchanged.

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