Tranquil Waters Aquamation Consent Form
Thank you for allowing us to be a part of this difficult time with your family.
Owner's Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
Pet's Name
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Pet's Date of Birth (can estimate)
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-
Month
-
Day
Year
Pet's Species & Breed
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Pet's Weight
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Pet's Sex
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Male
Female
Male - Neutered
Female - Spayed
Primary Veterinarian
*
We will inform them of your pet's passing.
Where did you hear about our services?
*
Are you in need of assistance with transportation for your loved one? If yes, is someone able to assist us with moving your angel to our vehicle if they are over 40lbs? (Transportation is only available if you are within a 30-35 mile radius of our Biddeford location) Additional fees do apply for transportation from your home.
Cremation (aquamation) Options
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Communal Cremation - I would like ashes to be returned to the earth - not available for visitation.
Private Cremation - I would like my individual pet's ashes returned to me and will pick up at Tranquil Waters Aquamation (6 Pomerleau St - Suite 102, Biddeford, ME 04005).
Private Cremation Options (included in cost unless otherwise stated)
Ribbon Box
Small Scatter Tube ($10)
Blooming Bio-Urn ($55)
Hardwood Urn ($75-$125)
Custom Urn - Salty Ginger Pottery (starts at $175)
Parting Stone ($1,195)
Let Your Love Grow ($85-$115)
Love Urns (inquire about pricing)
Davis Whitehall Photo Urn ($350-$558)
Sisu Beads - a small portion of ashes will be set aside for the making of jewelry (view website for pricing https://sisubeads.com/?ref=AafV54oZB1Xz7w)
Spirit Pieces - a portion of ashes will be set aside for the creation of glass memorial art or jewelry (view website for pricing https://www.spiritpieces.com/?rfsn=8890512.f333d3)
I need more time
Engraving (complimentary with wooden urn only)
Engravings can have multiple words, sayings, and lines of text.
Engraving (complimentary with wooden urn only)
LINE 2
Engraving (complimentary with wooden urn only)
LINE 3
Special Request (two urns, portion of ashes set aside, etc.)
Memorial Items
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Clay Paw Print ($30.00 - included in private cremation)
Ink Paw Print ($25.00 - included in private cremation)
Ink Nose Print ($25.00 - included in private cremation)
Lock of Fur ($10.00 - included in private cremation)
I do not wish to receive memorial items.
Click for Grief Resources
Memorial Submission
Remembering those we love with dignity, honor and respect.
Click to create a Memorial Submission
All charges for products and services rendered are due and payable in full at the time of service.
By signing below, I acknowledge that I have provided accurate information regarding my pet and the requested cremation services. I understand the cremation process, and I consent to the handling of my pet as described above. I also acknowledge that after one year of this signed date, my pet’s remains may be scattered if I do not retrieve them.
Please Sign Below
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SUBMIT
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