Filling out the form below means that you fully understand and agree to our process outlined above. Please note that we currently do not have pick-up service, there is no viewing while cremation is ongoing, and same-day release of the cremains is not possible. Thank you.

About You

First Name *

Last Name *

Phone *

Email *

Address *

I have read the guide on how to keep my pet cool and dry.

By checking this box, I agree to the terms of service and privacy policy.

About Your Pet

Pet's Name *

Pet's approximate weight in kilos *

Type of pet *

Color of pet *

Pet's Gender *

Male

Female

Pet's Date of Birth *

Pet's Date of passing/to be put to sleep *

Time of passing/to put to sleep *

We ask for your truthful answer below as we have health protocols to follow for everyone's safety.

Pet's cause of death *

Cause of death if other *

Would you like to use the Send-off Hall prior to the service (free of charge)? *

To spend some time with your pet

IMPORTANT: Please note that for death from an infectious disease like Rabies, Parvo, Distemper, Leptospirosis, e-Coli or Pneumonia, we will not be able to hold a send-off before the service due to sanitation reasons.

A profile photo of your pet (JPG or PNG only)

JPEG, JPG or PNG To be used during send-off

How would you like to be contacted? *

Call

SMS

How did you find out about us? *

Vet/Clinic Name *

I, the undersigned, certify that:

I am the legal owner of the pet described in this request
I have full authority to arrange for their cremation
I authorize Green Meadows Pet Aftercare Services Inc. to perform cremation services
I release Green Meadows from any liability related to these services

Your signature *

Clear