Tranquil Waters Aquamation Consent Form

Tranquil Waters Aquamation Consent Form

Thank you for allowing us to be a part of this difficult time with your family.
Owner's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
Pet's Name
Pet's Date of Birth (can estimate)

MonthDayYear
Pet's Species & Breed
Pet's Weight
Pet's Sex
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 your loved one is over 40lbs is someone able to assist us with moving your angel to our vehicle?
Cremation (aquamation) Options
Private Cremation Options (included in cost unless otherwise stated)
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
Click for Grief Resources
Click to create a Memorial Submission
All charges for products and services rendered are due and payable in full at the time of service. Cremation services will not take place until payment is made in full.
Please Sign Below

By signing, 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.
Should be Empty: