You are to use all reasonable precautions against injury, escape or death of my pet, but you will not be held iable or responsible - any manner an connection therewith as il is moroughly understood that I assume as insks.

Alter carefully reading the above sign the agreement

I am the owner of {animalsName} or acting as agent in his/her behalf with his/her full knowledge and approval.

I do hereby consent to all surgical and medical treatment necessary, and am aware of the riske, fees and procedures applicable to this case.

PLEASE INCLUDE Current Phone #'s"

The client realizes that in many cases it is not possible to determine in advance the exact extent of medical or surgical treatment required for an animal. The Williamsburg Animal Clinic will attempt to estimate the cost of the treatment but it is understood that the final cost may exceed the estimate. Depending on the extent of treatment required. The client agrees to pay a deposit when the pet is admitted to the clinic. The client agrees to pay the balance of the fees due before the release of the pet from the clinic.