Health Certificate Request

It is very important that the information contained on a health certificate is accurate to ensure compliance with animal health regulations and to prevent any issues with check-in for shows. To help me prepare your health certificate and have a smooth appointment, please fill this out at least 24 hours before our scheduled visit. Thank you!

Are you are new client?

Yes

Name of Exhibitor

First Name

Last Name

Is the exhibitor over 18?

Yes

Name & Phone Number of Parent

If not over 18

Address of exhibitor

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Location of Animal

Home, CFSID barn, private barn, etc

Name of Show

Date of Show

YYYY

Species of Animal

Breed and Color

Tag Number

Enter tag number or RFID if known