Authorization to Release Pets

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Name *

First

Last

Email *

Phone

Pet's Name

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. *

Clear Signature

Authorized Parties:

1.Name *

First

Last

Phone *

Phone number they can best be reached at.

2.Name

First

Last

Phone

Phone number they can best be reached at.

3.Name

First

Last

Phone

Phone number they can best be reached at.

4.Name

First

Last

Phone

Phone number they can best be reached at.

Name

Authorization to Release Pets

Authorized Parties:

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