Contact Form

Aftercare Transportation Consent Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pets Name*
Species*
Pets Weight (lbs only)*
Age/ Date of Birth*
Breed*
MaleFemale
Primary Vet Clinic*
I will arrange my own aftercare service. If I choose to burry my pet at home, I understand it is my responsibility to contact my local city/county for regulations. Burying a euthanized pet can put other pets and wildlife at risk for death if not done properly.Communal Cremation with Paw Prints Crematory (Ashes will NOT be returned to you, but will be scattered in a dignified manner.)Individual or Private Cremation with Paw Prints Pet Crematory. Ashes will be returned to your primary veterinarians office, or they can be picked up directly from Paw Prints Pet Crematory if preferred. For more information on additional memorial options, please visit www.Petangelmemorialcenter.com
YesNO
Cash (exact amount as cash is not carried with the provider)CheckCredit CardVenmoPaypal
I agree
By signing below, I confirm that I have read and understand the above information and give my full consent for aftercare transportation services.
Signature*

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Aftercare Transportation Consent Form