I, the undersigned, am at least 18 years old, and am the owner / duly authorized agent for the pet described herein.

I hereby consent to and order euthanasia (humane death) to be performed on this animal forever releasing said doctor, hospital, and all agents from any and all liability for performing said euthasasia.

It is my desire to provide for my pet decent and humane after-death care, complying with all legal requirements of the area.

I authorize the attending veterinarian to now dispose of the remains in accordance with hospital policy, releasing the hospital, doctor and agents from any and all liability for performing after-death care, with the following stipulations included.

After Care Arrangement Options