I certify that I am the owner of (or person responsible) for the animal described above. I give the Doctor and his assistants complete authority to euthanize this animal in whatever matter they recommend. I understand that the animal will be treated humanely. I release the Doctor and his assistants from any liability for euthanizing the animal.
I certify that this animal has not bitten anyone in the past 15 days and to the best of my knowledge has not been exposed to rabies.
I certify that I am the owner or authorized agent for the owner of the pet described above. I authorize a staff member of Animal Medical Center of Panola County to euthanize this pet.
If I do take the remains home, I am responsible to bury it to a reasonable depth where wildlife cannot dig up the remains or gain access.
