Aquamation Pet Release Form - Tranquil Tides Pet Aquamation

If you have any questions, please email us at info@tranquiltides.life or call us at 417-830-4794. Please complete the following form to schedule a service call to your veterinary clinic, your home or if you are bringing your pet to us.

Pet's Name(Required)

Color of Pet(Required)

Type of Pet/Breed(Required)

Weight(Required)

Gender(Required)

Name of Owner(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Email(Required)

Phone(Required)

Untitled(Required)

I/We understand aquamation is an irreversible and final process. After thirty days, unless other arrangements have been made, any unclaimed remains will be disposed of in a dignified manner.

I/We represent that I/We have the right to authorize the aquamation of the Pet’s remains and warrant that I/We are the owner or an agent of the owner.

I/We understand that due to the nature of the aquamation process, any possessions or materials, such as collars or tags, that are left with the animal will be removed prior to aquamation and disposed of by Tranquil Tides Pet Aquamation LLC.

I/We further represent and warrant that the animal has not bitten any person or other animal within the last 10 days.

I/We understand that payment will be made at time of drop off of your pet before any service is performed.

Pet's Date of Birth

Pet's Date of Passing / Scheduled Passing

If applicable, I/We authorize Tranquil Tides to pick up our pet at the veterinary clinic listed below. Please make sure they are aware that you would like to use our services.

Vet Clinic Name

Vet's Phone Number

Communal vs Individual(Required)

Communal Aquamation: I/We elect NOT to receive my pet’s ashes back to me and they will be spread with dignity in a private garden.

Individual Aquamation: I/We shall receive my pet’s remains within 7-10 days.

Fleas and Ticks(Required)

Does your pet have fleas or ticks?

Yes

Illnesses(Required)

Does your pet have any contagious illness?

Yes

The undersigned certifies the accuracy of all information on this authorization and will indemnify and hold harmless Tranquil Tides Pet Aquamation LLC, their owners, employees and agents from any liability, cost, expenses or claims resulting from this authorization and release thereon. I understand that images/pictures may be used for show and tell display and marketing.

Signature(Required)

Today's Date(Required)

Pet Aquamation Authorization & Release Form

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