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2. Name of Missing Pet*
4. Type of Animal*
6. Please Provide a Description of your Missing Pet*
   • Gender
   • Age
   • Spayed/neutered
   • Microchip #
   • Hair length
   • Hair colour
   • Other important information (declawed, needs medication, etc.)
   • Place and date/time of last sighting
   • Demeanor (friendly, shy, skittish, fearful, aggressive, etc.) 
8. Owner's First Name*
9. Owner's Last Name*
11. Address*
13. City*
14. Province*
15. Postal Code*
17. Primary Phone Number*
18. Secondary Number
20. Email Address*
22. Upload an Image of Your Pet*
23. Preferred Method of Communication*

    1. Email
    2. Phone
25. Freedom of Information and Protection of Privacy Act*

    I understand by submitting this form I am consenting to the collection, storage, use and disclosure of my personal information for the purposes of the Lost Pet Program in accordance with the Freedom of Information and Protection of Privacy Act. I understand that my personal information will be disclosed to a third-party service provider (i.e. website host Civic Plus, MicroSoft) located in Canada for the purpose of processing my request. If you have questions or concerns about the collection of your personal information please contact Chelsea Costa 604-972-7371.

    1. I consent
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field