Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Name *FirstLastPhone *Is it ok to text the phone number provided? *YesNoEmail *Pet’s Name(s): *Breed(s): *Age(s): *Veterinary Authorization & Emergency CarePrimary Veterinarian & Clinic Name: * Emergency & & Veterinary Clinic Address: *Veterinary Clinic Phone Number: *In the event of an emergency or if we believe your pet requires medical attention while in our care, we will make every effort to contact you immediately. If you are unreachable, we are authorized to seek veterinary care from your designated veterinarian or the nearest available emergency veterinary facility. By signing below, you acknowledge and agree that you are responsible for all veterinary costs, including but not limited to examinations, treatments, medications, surgeries, and emergency care. We will not be held financially or legally liable for any veterinary expenses incurred while your pet is in our care. NextAgreement & Signature By signing below, you confirm that you have read, understand, and agree to the terms of this Pet Care Agreement & Liability Waiver. Name *FirstLastDate / Time *DateTimePhotography & Social Media ReleaseCheckboxes *I grant permission for photos/videos of my pet to be used on social media and promotional materials.I do not grant permission for photos/videos of my pet to be used.PreviousSubmit
