Pet Birth Registration Form

Discount Code:

-------------------------- Mandatory Heirloom and Legal Fields --------------------------

Pet's General Information:

Name/Registered Name
(ex. Hothouse's Wild Rose):

*

Date of Birth (mm/dd/yyyy):

*

-------------------------------- Heirloom and Legal Fields --------------------------------

Call Name (ex. Rosie):

Animal Type (ex. Dog):

Breed (ex. Beagle, Siamese):

Length:

inches

Mother's Name:

State of Birth:

Time of Birth (hh:mm):

:

Gender:

Weight:

pounds ounces

Father's Name:

Place of Birth:

City/Town of Birth:

Owner's Information:

Name:

Upload your pet's photograph:

-------------------------------- Additional Legal Fields --------------------------------

Pet's Description:

Registration Number:

Owner's Information:

Residence State/Country:

Mailing Address (Street, City/Town, County, State/Country, Zip):

Residence County:

Did Owner Live in a Township?

Yes, Owner Lived In:

No, Owner Lived Within Actual Limit of:

City/Boro

Veterinarian Information:

Name of Veterinarian:

License Number:

Date Signed (mm/dd/yyyy):

Name and Address of Facility:

Refund Policy- The fee charged by GoPetCertificates.com is the fee for the actual certificate which you yourself print. GoPetCertificates.com, Inc. will refund the fee if you are unable to print your certificate and the fault is ours. If the reason you can not print your certificate is because of a problem with YOUR printer or computer for any reason the fee will not be refunded. If you have any questions about refunds, call us @ 1-717-909-8500. Monday - Friday 8:30 am - 5 pm Eastern Time

©2024 GoPetCertificates.com a Division of GoCertificates.com

2400 Park Drive, Suite 102, Harrisburg, PA 17110, USA

All rights reserved.

Legal Notices|Privacy Policy|Refund Policy

Legal Notices as of 07/01/2010

The following terms and conditions govern all access to and use of this Site. Through User's access of this Site, User accepts, without limitation or alteration, all of the terms and conditions, contained in these Legal Notices. The Site's content is copyrighted. Use of the Site's content is prohibited except as provided herein, without the written permission of GopetCertificates.com. The trademarks, logos and service marks (collectively the "Marks" or "Mark") appearing on the Site are registered and unregistered Marks of GopetCertificates.com, and others. The Site and the information contained therein in no way grant any license or right to use any Mark displayed on the Site. User is strictly prohibited from using the Marks displayed on the Site or any other content on the Site, except as provided in these Legal Notices. GopetCertificates.com, either owns or has permission to use the images displayed on the Site. All of these images are either the property of, or used with permission by GopetCertificates.com. All uses of these images are prohibited. Use of the images without authorization may violate certain laws, including but not limited to those relating to copyright, trademark, privacy and publicity. GopetCertificates.com has established and continues to maintain this Site to provide information, education and communication. Downloading of material displayed on the Site is limited to non-commercial, personal use only, provided User retains all copyright and other proprietary notices contained on the materials. The content of the Site cannot be used, posted, sold, transmitted, distributed, modified or transferred for public or commercial purposes, without the written permission of GopetCertificates.com. With the exception of consumer personally identifiable information and uploaded photographs of pets, any communication or material sent to GopetCertificates.com, or to the Site by electronic mail or otherwise, including any data, questions, comments, suggestions, feedback or the like, is, and will be deemed, non-confidential and non-proprietary. Further, any communication or material sent to GopetCertificates.com, (other than consumer personally identifiable information and uploaded photographs of pets) becomes the property of GopetCertificates.com,  and may be used for any purpose, including, but not limited to, reproduction, disclosure, transmission, publication, broadcast and posting. Furthermore, GopetCertificates.com, is free to use any ideas, concepts, know-how or techniques contained in any communication sent to the Site for any purpose whatsoever including, but not limited to, developing, manufacturing and marketing products using such information. GopetCertificates.com, makes no representations whatsoever about any other web site which may be accessed through this Site. Access to any non-GopetCertificates.com, web site is independent from GopetCertificates.com, and GopetCertificates.com, has no control over the content on that web site. In addition, a link to a non- GopetCertificates.com, web site does not mean that GopetCertificates.com, endorses or accepts any responsibility for the content, or the use, of such web site. GopetCertificates.com, also assumes no responsibility, and shall not be liable for, any damages to, or viruses that may infect, the computer equipment or other property of User arising from or related to access to, use of, or browsing in the Site or the downloading of any materials, data, text, images, video, or audio from the Site by User. 
IN NO EVENT WILL GOPETCERTIFICATES.COM, ITS AFFILIATES, ITS AGENTS OR ANY OTHER PARTY INVOLVED IN CREATING, PRODUCING OR DELIVERING THE SITE, BE LIABLE TO ANY PARTY FOR ANY DIRECT, INDIRECT, EXEMPLARY, PUNITIVE, SPECIAL OR OTHER CONSEQUENTIAL DAMAGES FOR ANY USE OF THIS WEB SITE, OR ON ANY OTHER LINKED SITE, INCLUDING, WITHOUT LIMITATION, ANY LOST PROFITS, BUSINESS INTERRUPTION, LOSS OF PROGRAMS OR OTHER DATA ON USERS' INFORMATION HANDLING SYSTEM OR OTHERWISE, EVEN IF GOPETCERTIFICATES.COM, IS EXPRESSLY ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
Although GopetCertificates.com, attempts to include accurate and up-to-date information in the Site, GopetCertificates.com, makes no warranties or representations as to its accuracy or timeliness. GopetCertificates.com, assumes no liability or responsibility for any errors or omissions in the content of the Site. Information on this Site may contain technical inaccuracies or typographical errors. GopetCertificates.com, may change or update information without notice. GopetCertificates.com, may make improvements and/or changes in the products and/or the programs described in this Site at any time without notice. Use of and browsing in the Site are at User's risk. Without limiting the foregoing, everything on the Site is provided "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT. Some jurisdictions may not allow the exclusion of implied warranties; therefore, some of the above exclusions may not apply. Although GopetCertificates.com, may from time to time monitor or review discussions, chats, postings, transmissions, bulletin boards and similar communications on the Site, GopetCertificates.com, has no obligation to do so. GopetCertificates.com, assumes no responsibility or liability arising from the content of any such communications or for any error, defamation, libel, slander, omission, falsehood, obscenity, pornography, profanity, danger or inaccuracy contained in any information on the Site. The posting or transmitting of any unlawful, threatening, libelous, defamatory, obscene, scandalous, inflammatory, pornographic or profane material or any material that could constitute or encourage conduct that would be considered a criminal offense, give rise to civil liability, or otherwise violate any law is prohibited. GopetCertificates.com, fully cooperates with any law enforcement authorities or court order requesting or directing GopetCertificates.com, to disclose the identity of anyone posting any such information or materials. These Legal Notices are subject to revision at any time by an update to this posting. Such revisions are binding upon any User of this Site. As a result, all Users should routinely visit this page to review the then current Legal Notices to which they are bound. GopetCertificates.com, controls and operates this Site from its offices within the United States of America. GopetCertificates.com, makes no representation that materials in the Site are appropriate or available for use in other locations, and access to them from territories where their contents are illegal is prohibited. Those who choose to access this site from other locations do so on their own initiative and are responsible for compliance with applicable local laws. Materials may not be used or exported in violation of U.S. export laws and regulations. Any claim relating to the materials will be governed by the substantive laws of the Commonwealth of Pennsylvania excluding its choice of law provisions.

Privacy Policy

GoPetCertificates.com, Inc. is a privately owned company that provides the service of expediting vital records ordering. All information collected by GoPetCertificates.com, Inc. is for the sole purpose of obtaining a certified vital record from the appropriate state office. No additional information is requested other than what is necessary to apply for these vital records. While some of this information may constitute personally-identifiable information such as name, mailing address, telephone number, e-mail address, social security number, driver’s license number, date of birth or other vital event, credit card number, demographic information such as gender, information about parents or spouses which may be associated with a vital event, information relating to any orders you place, or any inquires you may make through our web site, we do not share, sell, rent or trade such information with third parties for their promotional purposes. We may disclose information you provide to us to third parties (government agencies and credit card processors) in order to complete a transaction that you requested. If, for example, you pay for a transaction using a credit card, disclosing that information for processing purposes is necessary to complete the transaction. In other cases, it may be necessary to disclose information you provide about yourself or third parties (government agencies) in order to obtain the certificate you requested. We may also outsource some tasks, including the operation of some website functions that require access to information you supply online. In such cases, however, we require that those companies comply with our privacy policy and institute safeguards to protect the confidentiality of your information. Finally, please note that we may disclose personal information when required by law or in good faith belief that such action is necessary in order to conform with the law or to comply with a legal process. GoPetCertificates.com, Inc. does not have a mailing list, and does not give away or sell your email address to any outside interest. All information collected by fax or by email is received in a secured office environment. This information is kept by GoPetCertificates.com, Inc. for only as long as it takes to complete the service, or as required by the state. For information collected through this web site, we use industry standard, secure socket layer (“SSL”) encryption. We may revise this online privacy policy from time to time. If we make any material changes, we will notify you by posting those changes to this privacy statement, the home page, and other places we deem appropriate.

GoPetCertificates.com, Inc. provides certificate(s) for your pet.

For any questions about our services and/or additional information, please:

- Email us at: support@genesisinfo.com
or
- Call us at: (800) 324-6380
or
- Complete the following contact form

Your Name:*

Phone:

E-mail:

Message:*

Verification Code

Enter Verification Code *

Your Name:*

Phone:*

E-mail:*

Message:*

Verification Code

Enter Verification Code *