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.

Optional

I would like to receive private video footage of my pet being placed in the cremation chamber.

Footage is provided as a courtesy and depends on our recording equipment working at the time. We can’t guarantee footage if a technical issue, such as an internet or power outage, prevents recording. If that happens, we will let you know.

You may feature my pet’s photo and name (no owner details) in a tribute video on your social media.

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.

IMPORTANT: Please note that for death from an infectious disease, we will not be able to hold a send-off before the service due to sanitation reasons.

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

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

JPEG, JPG or PNGTo be used during send-off

How did you find out about us? *

Vet/Clinic Name

How would you like to be contacted? *

Call

SMS

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
I understand that there is no viewing while cremation is ongoing
I understand that same-day release of the ashes/cremains is not possible

Your signature *

Clear