• Lap of Love Pet Registration form for Brazos Valley

      (979) 314-9122

    Please complete the form below
  • Contact Information

  • Your Full Name

  • E-mail*

  • Phone Number*

  • Address

  • Your Pet's Information

  • What is your Pet's Name?*

  • Please select your pet's species?

  • Gender?


  • How old is your pet?

    yrs
  • How much does your pet approximately weigh?*

    pounds
  • What is the main ailment of your pet?

  • What type of Aftercare would you prefer?

  • Any additional notes or comments?

  • If you'd like, please upload an image of your pet if you have one (32 meg max file size)