I, the undersigned, so hereby certify that I am the owner or authorized agent of the owner of the pet described above, that I do hereby give Dr. Jerry Miller DVM, his agents, servants, or representatives full and complete authority to euthanize my pet in whatever manner they deem fit. I do hereby forever release the doctor, his or her agents and representatives from any and all liability for so euthanizing my pet. I also certify that the pet described above has not bitten or scratched any person or animal in the last fifteen (15) days and to the best of my knowledge has not been exposed to rabies.