I agree to release and indemnify the veterinarian, the funeral home, the crematory, their officers, directors, agents and employees, from any claim, liability, cost or expense resulting from their reliance on or performance consistent with the directions, declarations, representations, authorizations and agreements herein. I agree that the Veterinarian's , Funeral Home's and Crematory's liability for negligent acts (of itself or its agents or employees) is limited to a refund of the cremation fees paid by me. I warrant that all representations and statements contained in this form are true and correct. I have read and understand all the information herein.
By completing the information fields in this form, I represent that I am the Owner or an Agent of the Owner ("Authorizing Agent), and I have the right to authorize the cremation of the Pet's remains. I have read and understand all required Pet Disclosures as listed in this form.