Pet Care & Booking Form
Private Individual Cremation
When should we collect your pet, or when will you be bringing them to us? (Date & Time)
Your Name
First Name
Last Name
Phone Number
Address
Street Address
Street Address Line 2
Town
County
Postcode
Email
example@example.com
How would you like your pet to come into our care - collection or bringing them to us personally?
Please Select
Collection from Home
Collection from Veterinary Practice
Bringing My / Our Pet to the Crematorium
Name of Pet
Pet’s Breed (if known)
Pet’s Gender
Please Select
Male
Female
Pet’s Most Recent or Estimated Weight (kg)
As part of our care, we offer families a few small keepsakes to help remember their beloved pet. These are provided at no extra cost and will be returned with your pet’s ashes. Please let us know if you would like us to include any of the following:
Paw print
Nose print (where possible)
Fur clipping
Does your pet have any metal implants or surgical metalwork (for example plates, pins, screws or joint replacements) that we should be aware of?
Please Select
Yes
No
Veterinary Practice Address (if applicable)
Thank you for completing this form during what we know is a very difficult time. Please know your pet will be treated with the utmost dignity, respect, and love while in our care.
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