Form
Owner Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
About your pet
Pet Name
*
Species
Please Select
Dog
Cat
Other
Breed
Approximate Weight
*
Pickup Location
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where in the home/property is your pet?
Access instructions (gate code, parking, unit number)
Service Selection
Cremation Type:
*
Communal — Your pet is cremated together with other pets. Ashes are not returned.
Individual — Your pet is cremated alone, but in the same chamber cycle as other pets. Ashes are returned to you.
Private — Your pet is cremated alone in a dedicated cycle, with no other pets present. Ashes are returned to you.
Scheduling
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Preferred Time Window
*
Please Select
Morning
Afternoon
Evening
How did you hear about us:
How did you hear about us
Please Select
Crematorium
Vet referral
Nextdoor
Google search
Previous customer
Word of mouth
Other
Before We Arrive
Is there anything our team should be aware of before we arrive?
Authorization
Please confirm:
*
I authorize Old Friend Pet Aftercare, LLC to transport and cremate my pet as selected above, and confirm I am the legal owner or authorized representative.
Please confirm:
To the best of my knowledge, my pet has not bitten a person or another animal in the past 10 days, and has not shown signs of, been diagnosed with, or been exposed to Rabies.
If you're unable to confirm the above, please explain:
Signature
*
Continue
Continue
Should be Empty: