• I, the undersigned, do hereby certify that I am the owner of or legally responsible party for the animal described above. I do hereby give the doctors of People for Animals, Inc., their veterinarians, authorized agents, staff or representatives full and complete authority to euthanize said animal for humane reasons and in a humane manner. I also give consent to dispose of the remains in accordance with the clinic’s policy unless otherwise instructed. I do hereby forever release People for Animals, Inc., and their staff and representatives from any and all liability for euthanizing and disposing of said animal. I further understand that I assume financial responsibility for all services rendered. I certify that to the best of my knowledge this animal has not bitten any person or animal during the last ten (10) days. Again, by signing this form I am giving permission to end this animal’s life and I have the authority to execute this consent.