Rabies Registration

Rabies Vaccination Clinic: Saturday, May 30, 2026

Chapel Park- 83 Personius Rd, Pine City, NY 14871
Clinic Location
Sponsored with the Town of Southport: 
Chapel Park- 83 Personius Rd., Pine City, NY 14871
Available Vaccination Appointment*
Owner's Name*

First NameLast Name
Owner's Address*

Street Address

Street Address Line 2

CityState

Zip Code - 5 Digits Only
Owner's Phone Number*
Format: (000) 000-0000.
Owner's Email
Animal(s) Information
Number of Animals being vaccinated*

123
Animal's Species -1*

DogCatFerret
Animal's Age - 1 (Please provide months only if less than 1 year old)*
Animal's Sex -1*

MaleFemale
Animal's Name -1*
Limit 15 Characters
Dog Breed -1*
Cat Breed -1*
Ferret Breed -1*
Predominate Colors/Markings -1*
Limit 20 Characters
Animal's Species -2*

DogCatFerret
Animal's Age -2 (Please provide months only if less than 1 year old)*
Animal's Sex -2*

MaleFemale
Animal's Name -2*
Limit 15 Characters
Dog Breed -2*
Cat Breed -2*
Ferret Breed -2*
Predominate Colors/Markings -2*
Limit 20 Characters
Animal's Species -3*

DogCatFerret
Animal's Age -3 (Please provide months only if less than 1 year old)*
Animal's Sex -3*

MaleFemale
Animal's Name -3*
Limit 15 Characters
Dog Breed -3*
Cat Breed -3*
Ferret Breed -3*
Predominate Colors/Markings -3*
Limit 20 Characters
Should be Empty:

Rabies Vaccination Clinic: Saturday, May 30, 2026