I, the undersigned, do hereby certify that I am the legal owner (duly authorized agent for the owner) of the animal described above; that I do hereby give Elizabeth Fowler, DVM, her agents, servants, and representatives full and complete authority to euthanize the said animal in whatever manner the said Doctor, her agents, servants, or representatives shall deem fit.
I do hereby, and by these presents forever release the said Doctor, her agents, servants, or representatives from any and all liability for so euthanizing the said animal. If I opt for remains returned and do not pick-up said remains within 90 days, I understand that the remains will be spread by CLVC staff on CLVC property.