Pet Cremation Preplanning

Pet Owner(s) Name

Street Address

Suite

City

Postal Code

Phone Number

Pet's Name

Pet Breed

Sex

Age

Approximate Weight

Personal Items with your Pet

Veterinarian Clinic to be used for Pickup (All animals to come into our care has to come from a Registered Veterinarian)

When is your scheduled vet appointment?

I would like a fur clipping. How many required?

I would like an ink paw print print. How many required?

I would like a Pawpal paw print. How many required?

I would like a polymer paw print. How many required?

I would like an ink nose print. How many required?

I would like an nose print pendant. How many required?

I request the following pet personal items be cremated

I request the return of the following pet personal items

I request the following pet personal items be donated

I authorize the following Veterinarian Clinic (Name and location) to release my pet to the care of Angel Paws Pet Crematorium Ltd.

I am the parent/guardian of the above-named pet. I am fully authorized to make the above arrangements and request that Angel Paws Pet Crematorium Ltd. carry out my final wishes for my beloved pet

Yes

Please type your name again to sign and agree to all of the above: