Owner’s Name Date MM slash DD slash YYYY Cat’s Name Breed Colour Sex Age Weight I am the owner of the above named cat or am responsible for it and have the authority to execute this consent. I authorize the performance of euthanasia on the above-described cat. I hereby certify that this cat has not bitten any person within the last ten (10) days. I agree that an examination of pertinent tissues or procedures may be performed to advance the medical care of other feline patients. I agree to indemnify and hold Alamo Feline Health Center and its Doctors and employees harmless from and against any and all liability arising out of the performance of the procedure referred to above.I request one of the following after care choices: Private Cremation: Each pet is cremated individually at Texas Veterinary Passages and placed in a wooden carved urn, this also includes a name plate, clay paw print in a framed 5x7 shadow box, fur trimming and certificate. The urn and additional items will be returned to Alamo Feline Health Center. We will notify you by phone when the ashes arrive. ($110.00 + cost of euthanasia) * For upgraded urns we will have you contact Texas Veterinary Passages directly for prices and setup. (830) 421-3551 Cremation: Ashes are not returned to you but are handled with care and respect by Texas Veterinary Passages. ($60.00 + cost of euthanasia) Cremation with Clay Paw Print: Ashes are not returned to you but are handled with care and respect by Texas Veterinary Passages, this also includes a clay paw print. ($90.00 + cost of euthanasia) Take my pet with me for personal burial (cost of euthanasia only). Name Plate: (3 lines, maximum 25 characters per line including spaces)Line 1 Line 2 Line 3 SignatureMobile Number* You will receive text message notifications from Texas Veterinary Passages with updates on cremation status.