Authorization to Release Pets

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Company

This field is for validation purposes and should be left unchanged.

NAME:(Required)

First Last

PHONE:(Required)

EMAIL:(Required)

PET’S NAME:(Required)

PET’S NAME (2)

PET’S NAME (3):

PET’S NAME (4):

In case of an emergency, or if I am unable to pick up my pet(s) I, owner/guardian authorize FOUR PAWS PET HOTEL to release the above referenced pet(s) to the following persons. I understand that no further written authorization from me is required for my pet(s) to be released to one of the persons listed herein. I understand that I may revoke any person(s) authorization at any time by completing a new Authorization to Release Pet(s) form.

Owner / Guardian’s Signature(Required)

Date(Required)

For the safety of your pet(s), please inform all authorized pick up persons listed herein, that we will ask for a government issued photo ID when they arrive to pick up your pet(s). If they do not have a valid government issued photo ID FOUR PAWS PET HOTEL will not release your pet(s) to them under any circumstances

Authorized Party 1

NAME:(Required)

First Last

HOME PHONE:

CELL PHONE:

WORK PHONE:

Authorized Party 2

NAME:

First Last

HOME PHONE:

CELL PHONE:

WORK PHONE:

Authorized Party 3

NAME:

First Last

HOME PHONE:

CELL PHONE:

WORK PHONE:

Authorized Party 4

NAME:

First Last

HOME PHONE:

CELL PHONE:

WORK PHONE:

Authorization to Release Pets

Authorized Party 1

Authorized Party 2

Authorized Party 3

Authorized Party 4

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