Authorization to Perform Cremation/EuthanasiaAs owner, or agent for the owner, of the animal, I hereby consent for humane euthanasia to be performed. I further authorize the attending veterinarian to care for the remains in accordance with hospital policy (cremation) and my request below. To the best of my knowledge and belief, this animal has not bitten anyone in the ten days preceding this date.Client's Name:Phone #Animal's name:Sex:Color:Age:Wt:Breed:Species:Acct # X-Small 0-20 lb Euthanasia Only Small 21 – 401 Cremation Only Medium 41 – 751b Euthanasia & Cremation Large 76 - 1251b Hair Clipping ready now or the next day X Large 126 - and up Clay Paw (extra charge) ready the next day.CLAY PAWS MUST BE MADE AT TIME OF SERVICE Do Not Save Communal we dispose of ashes on our property Save Ashes Fiber Container (Biodegradable) or Velour Pouch - Blue/ BurgundyUnless otherwise requested remains are returned in a fiber container or velour pouch and should be ready in 10 to 14 days. You will be notified when they are ready for pickup. Special URN (extra charge)Prepayment on all special ordersSpecial Instructions / ArrangementsPayment due at time of service Owner's signature:Date Dr.StaffLog #Remains will be held for 1 year from the date they are ready for pickup unless other arrangements are made in advance.