NOTE: We do not share email or other contact information.
This is the primary method we will use to contact you when your pet's ashes and/or keepsakes are ready to return home. We do not share your contact information.
This is the last name we will use on the aquamation certificate and name labels.
By submitting this form, I indicate that I am the authorized agent or the owner of the pet identified on this form. I have completely read and understand this form and all statements contained within are true and correct. Further, I agree to hereby release Eternal Waters Aquamation, their agents and representatives, from all liability for this pet.