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DOG BUS — PET TRANSPORTATION, EXCURSION & LIABILITY WAIVER

Click Here To Read our PURPOSE OF THIS AGREEMENT

Pet Owner Name *required

Phone *required

Email *required

Address *required

PET INFORMATION

Pet Name *required

Breed *required

Age *required

Weight *required

Veterinarian Name *required

Veterinarian Phone *required

Emergency Contact Name *required

Emergency Contact Phone *required

I understand that Pawsandpalm is providing a pet transportation and activity service and is not a substitute for veterinary care.

PET OWNER AGREEMENT

EMERGENCY VETERINARY AUTHORIZATION

In the event that I cannot be reached, I authorize Pawsandpalm to obtain emergency veterinary care for my pet when reasonably necessary.

Preferred Veterinary Clinic *required

Clinic Phone *required

Preferred Emergency Veterinary Hospital *required

Hospital Phone *required

Maximum Emergency Authorization Amount (optional): $ *required

Pet Owner Initials: *required

ADDITIONAL PET INFORMATION / SPECIAL INSTRUCTIONS