Emergency Care Authorization

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This form must be filled out prior to pet travel.

Email *

Last Name *

First Name *

Phone Number *

Email *

Address- Street, City, Zip *

Description of the Pet

Pet Name *

Breed *

Sex of pet *

Female

Male

I have not picked my puppy from the litter at the time the form was filled out.

Approx Weight at flight time *

Age at flight time *

Neutered/ Spayed *

Yes

Any Additional Information: *

In the event the pet or pets described herein should become ill or be injured and require veterinary care as the responsible party I, hereby authorize Wonder Tails Canine Transport or any representative of Wonder Tails Canine Transport to seek medical treatment from a licensed veterinarian. My signature below acknowledges that I have read and understand this document, and I agree to hold Wonder Tails Canine Transport and their representatives harmless from any illness or injury of my pet during or after transport of the pet.* *

I am the breeder and I will not be responsible for charges incurred during travel.

I am the client getting the dog and I will agree to the above statement.

Required

E-Signature Name *

Contact person delivering to the airport *

Delivery is expected 2 hours prior to the flight and exact meeting time and place will be communicated to the person dropping off at the airport prior to the date of travel. If the person is more than 15 min late a $100 late fee will be applied. Wonder Tails Canine Transport is not responsible for any missed flights if you exceed the 15 minute drop off window. Please make sure the breeder is aware of this condition as well. *

I Understand

Phone number *

Name of Client *

Phone number of Client *

Confirmed Date of travel *

YYYY

By signing this document you agree to the Terms and Conditions set fort on the date that this form is submitted.

Thank you for doing business with Wonder Tails Canine Transport. You may always contact us at 936.205.0061 if you have any questions.

A copy of your responses will be emailed to the address you provided.

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