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Final Gift

PET AFTERCARE SERVICES AND MEMORIAL CENTER Please visit us at: www.finalgift.com
Phone: (401) 464-8338 
Cranston, RI 02921
Cremation No: For office use only

Pet Record

Owner's Information:

Owner:

Address:

Pet's Information:

Pets Name:

Patient Breed:

Weight (lbs)

Patient Color/Markings:

Euthanasia Record

I, the undersigned, do hereby certify that I am the owner or the duly authorized agent of the pet described above, that I am 18 years of age or older, and that I do hereby give the Court Square Animal Hospital Doctor and the agents, servants and representatives full and complete authority to humanely euthanize the said pet; and release the veterinary facility and its employees from any and all liability for so euthanizing the said pet. I do also certify that to the best of my knowledge said pet has not bitten any person or animal during the last (15) days and has not been exposed to rabies.

Date:

Signature:

Signature

AUTHORIZATION FOR DISPOSITION OF PETS REMAINS BY FINAL GIFT PET AFTERCARE SERVICES AND MEMORIAL CENTER

I hereby certify that I am the owner or authorized agent for the owner of the pet described above and that I am 18 years of age of age or older, I hereby authorize the following method of disposition:
PRIVATE CREMATION
(Once in the care of Final Gift your beloved pet is placed individually into the crematory and is kept separate from all other pets. The remains are then placed in a quality urn of your choice and hand delivered to the veterinary hospital to be reunited with you and your family. A certificate of cremation and grief package is issued with every private cremation.)

Please indicate your preferred complimentary urn: Item #:

Additional upgraded urns (Please list the item number from the hospital’s urn brochure)

Round picture frame with brass trim (for urns not having a built in picture frame) Please select:

Round picture frame with brass trim (for urns not having a built in picture frame) Please select:
A
B

Customized brass engraving plate. Please select:

Please List Details:

COMMUNAL CREMATION (Once in the care of Final Gift your beloved pet is cremated in a group setting with other pets. This option maintains a high level of dignity at a modest cost. Pet ashes are not returned, but receive a proper burial at the discretion of Final Gift.)
PRIVATE BURIAL (Once in the care of Final Gift your beloved pet is transported to our cemetery grounds located at Pet Memorial Park. Owners should call us to arrange for burial services.)
RELEASE REMAINS (The beloved pet’s remains will be released to the owner for proper disposition. Local laws apply.)
I further acknowledge that I have received, read and understand the price schedule for each aforesaid disposition alternative, and I further understand where each alternative method of
disposition will take place. If this form is not completed by the pet owner, the undersigned acknowledges that same was orally authorized by the pet owner and witnessed by the party
signing below as such witness. The undersigned agrees to indemnify Final Gift Pet Aftercare Services and Memorial Center for all claims (including legal fees and other costs) resulting
from any inaccuracy in the aforesaid representations or requests.

Select one of the following:

Select one of the following:
A
B
C
D

Date:

Signature of owner or authorizing party

Date:

Signature of witness to pet owner’s oral consent

Signature