To the best of my knowledge, the information I have provided on this form is true. I do also certify that my pet/owner's pet has not bitten, seriously scratched, or exposed anyone to rabies within the past 10 days. I understand that my wishes/owner’s wishes will be immediately carried out at the date of home visit. Again, by signing this form I am giving permission to humanely end my pet's life/owner’s pet’s life, and I have the authority to execute this consent.
I hereby forever release and hold harmless SUGAR’S GIFT™ and any authorized agents, staff, or representatives from any and all liability for euthanasia and disposal of my/owner’s pet.