Microchip Details

If your pet is implanted with an M4SID microchip, complete registration below:

Contact Information

Please fill out your contact information as well as an emergency contact information to be contacted in the case of a missing pet.

Pet Details

Please fill out as much information as possible for your registered pet.

Vet or Breeder Details

Having your Vet or Breeder on file is another way to help get your pet home safely. If your information is not up to date, your vet clinic can usually provide your updated contact information.

Terms of Agreement



  • Microchip Details


  • Contact Information


  • Pet Details


  • Vet or Breeder Details


  • Terms of Agreement

Microchip Details

Microchip Number


Batch Number


Implant Pin


Collar Tag


Implant Date

Your Details

First Name


Last Name


Address


City


Postal/ZIP Code


Country

Province/State


Driver's License Number


Email

Secondary Email


Phone Number


Secondary Phone


Emergency Contact

Contact First Name


Contact Last Name


Contact Phone Number


Contact Email


Pet Details

Pet Name


Gender

Birthdate

Species

Breed


Colour


Neutered?

Health Insurance Registered?

Notable Conditions


Registrations & Associations


Adoption Number


Medical History


Rabies Vaccination?

Vaccinated On:

Vet Details

Veterinary/Breeder Name


Phone



Vet Email

Terms of Agreement

Terms




Having trouble registering? Register by phone toll-free at: 1-877-738-4384