Client (Owner) Name
First Last
Pet Name*
Consent:*
- Further, I warrant that I am the legal owner and/or responsible agent of my pet and I have the right to surrender this animal.
- I acknowledge that I forever waive all future rights to visit, to see, to exercise control, or to exercise judgement concerning the treatment or placement of my pet.
- I understand I am not entitled to information concerning the identity of the person who adopts my pet and that I do not have any discretion to approve or disapprove any placement. Tamarack Veterinary Clinic shall have full and complete discretion in any decisions about my pet's future.
- I attest that I have not been coerced into this decision and have made it of my own free will. I feel that my options have been thoroughly explained to me and I choose to surrender my pet instead of euthanizing. I feel that this is the best recourse for my pet at this time.
Signature of Owner*
Date*
Date Format: MM slash DD slash YYYY

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