Pet Euthanasia Consent Form | Pet Home Euthanasia Service

Owner Information

First Name *

Last Name *

Phone Number *

Email Address *

Address *

City *

ZIP Code *

Pet Information

Pet's Name *

Species *

Breed

Age

Approximate Weight

Color/Markings

Aftercare Selection

Euthanasia Only ($450) — I will handle aftercare arrangements myself. Euthanasia + Communal Cremation ($550) — Group cremation, ashes not returned. Fur clipping/paw print available. Euthanasia + Private Cremation ($750) — Individual cremation, ashes returned via shipping.

Consent & Authorization

I, the undersigned, am the owner (or authorized agent of the owner) of the above-described animal and I hereby consent to the euthanasia of my pet by a licensed veterinarian. * I understand that euthanasia is an irreversible procedure and I have made this decision of my own free will. * I authorize the selected aftercare option and understand the associated costs. *

Signature

Printed Name *

Date *

Digital signature will be collected at the time of appointment