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Aqua Bridge Intake & Consent Form

Thank you for trusting us to care for your beloved pet. Once you have made your appointment with Aqua Bridge, please complete this intake and consent form to ensure that we accommodate your wishes throughout the process. 

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Note: This is not an on-line booking form. Please do not complete this form until you have been in touch with your vet clinic or someone at Aqua Bridge directly.  

Contact us at 763-265-9520 or via email at jennifer@aquabridgeus.com. Thank you. 

Gender
Female
Male
Memorial Containers & Keepsakes

Please select the type of container you would like for your pet's remains. Visit our website for pictures of each option.

Commemorative Container Selection
Memorial Keepsakes

Aqua Bridge Memorial Tree Program

Create a living memorial to honor the bond you shared with your pet through our Memorial Tree Planting program. You will receive an emaiil from Love, Baxter confirming when and where your tree has been planted.

Plant a Tree

Consent for Aquamation Services

This Authorization Form is provided by you, the Pet Owner or authorized representative, to Aqua Bridge End-of-Life Care for Pets (“Aqua Bridge”). This Authorization Form must be completed and signed prior to releasing your pet to us for the Aquamation process.


We want to ensure that you fully understand the information provided in this Authorization Form, so please ask any questions you may have at this point by contacting Jennifer Ryan, Co-Owner, directly at 443-537-5443.


By signing this form, you acknowledge that Aquamation is an irreversible and final process. You represent that you have full legal right and authority to authorize the Aquamation of the pet’s remains and warrant that you are the Pet Owner or authorized representative of the Owner.

 

Release and Indemnification: You agree to release and hold harmless Aqua Bridge (PR Pet Ventures, LLC), and its agents and employees, from any claim, liability, cost, or expense, of any kind, resulting from Aqua Bridge's reliance on or performance consistent with the directions, declarations, representations, authorizations and agreements provided by this Authorization Form. You agree that liability for any potential negligent acts (of Aqua Bridge or its agents or employees) is limited to a refund of the fees paid to PR Pet Ventures by You.

 

Return of Pet’s Remains: You understand that your pet’s remains must be collected within thirty (30) days following this authorization. After that time, Aqua Bridge reserves the right to add your pet's remains to our communal process, where the remains will be respectfully spread in a forest in northern Minnesota.

 

Disclosure Regarding Pet: You represent and warrant that your pet:

-  Does not have Rabies.

-  Has not been exposed to other animals known to have Rabies.

 

By signing this form, I acknowledge that I have read and fully understand this Authorization for Aquamation services.

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