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 Name
Last Name
Address
*
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
*
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?
*
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)
Custom Urn - Salty Ginger Pottery (starts at $175)
Parting Stone ($695-$995)
Let Your Love Grow ($85-$115)
Love Urns (inquire about pricing)
Davis Whitehall Photo Urn (inquire about pricing)
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)
I need more time
View photos of options below:
Engraving (complimentary with wooden urn only)
LINE 1
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
*
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
Should be Empty: