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Baytown

We have a no-kill mission to save the lives of homeless cats and dogs abandoned and/or placed in kill shelters, while also providing life-saving programs and services to keep pets and their people together. Through outreach, education and service, we provide cats and dogs with an opportunity to live their full lives. 

Microchip Program Application

microchip program APPLICATION

The below application is for A free microchip through our Chip To Save Program.

 Throughout the year, we offer free and low-cost microchipping events through our Chip To Save Program. A microchip is a permanent ID for your pet; it cannot fall off, weather or be removed. A microchip that is registered and up to date with accurate contact information can save your pet's life. Through our partnerships with local veterinarians, we administer and register microchips at these sponsored events at low cost or no cost. This unique opportunity 1) helps owners recover their lost pet, 2) decreases the number of pets being killed in local shelters, 3) frees up kennel space in local shelters for animals that are truly homeless, 4) decreases the amount of money that taxpayers spend on euthanasia, and 5) decrease the chances of an owner's stolen pet from being "re-homed" or sold. You can learn more about these opportunities, including when our next opportunity is, by visiting our Chip To Save webpage. 

If you're interested in sponsoring or contributing toward our next Microchip Event, please DONATE TODAY.

Applicant Information
Name *
Name
Home Address *
Home Address
Phone *
Phone
How did you hear about our free microchipping program and events?
Please provide a brief explanation as to why you applied to be selected to receive a free microchip for your pet?
If selected, how will this opportunity benefit you and your pet?
What has prevented you from providing your pets with a microchip prior to this opportunity? We want to know how we can better help the community through education and providing more free opportunities like this.
Pet Information
Cat or Dog?
Sex and Alteration *
Is your pet "fixed"? Please select the most appropriate answer below.
Dog Breeds: Chihuahua, Boxer, Heeler - Cat Breeds: Siamese, Persian, Domestic Shorthaired
Approx. Weight
If you own more than one pet that you would like request to get microchipped at the same time, please list their information below in the following format. (Name, Species, Sex, Alteration, Age, Breed, Color, Weight)
Commitment and Authorization
By typing my name below, I hereby commit to redeeming the benefit of the Microchip Program by taking my pet to get microchipped at the location specified on the voucher provided by A Life to Live. I agree to notify A Life to Live if I am unable to take my pet to get microchipped by the date and time specified on the voucher so that another pet in need may benefit from this opportunity. I certify that the information provided by me in connection with my application, whether on this document or not, is true and complete. I understand that any misstatement, falsification, or omission of information shall be grounds for termination of this application. A Life to Live reserves the right to refuse any application. By typing/signing my name below, I agree with the above terms. *
By typing my name below, I hereby commit to redeeming the benefit of the Microchip Program by taking my pet to get microchipped at the location specified on the voucher provided by A Life to Live. I agree to notify A Life to Live if I am unable to take my pet to get microchipped by the date and time specified on the voucher so that another pet in need may benefit from this opportunity. I certify that the information provided by me in connection with my application, whether on this document or not, is true and complete. I understand that any misstatement, falsification, or omission of information shall be grounds for termination of this application. A Life to Live reserves the right to refuse any application. By typing/signing my name below, I agree with the above terms.

A Life to Live is an incorporated 501(c)(3) nonprofit organization in Baytown, Texas.  © 2017 A Life to Live. All rights reserved.