Consent form

consent form

* Indicates required field

Name *

First

Last

Pet's Name *

My pet has not bitten anyone in the past 14 days and has not been exposed to rabies *

Cosmic Light has my permission to euthanize my pet to avoid unnecessary pain and suffering *

Preferred method of payment *

Client Signature *

Today's date *

Submit

Additional fees:
Extended travel, arrangements made outside business hours, aggressive pets