The undersigned owner(s) (agent) of the animal(s) described as follows,
hereby request the emergency quartering of these animals being evacuated because of a pending or occurring disaster.
The animal owners (agents) hereby release the receiving property owners and caregivers from any and all liability regarding
quartering of these animals during and following this emergency. Additional relocation may be necessary, and this release
is intended to extend to such a relocation.
The animal owners (agents) acknowledge that the risk of injury or death to these animals during an emergency cannot be
eliminated and agree to be responsible for any veterinary expenses which may be incurred in the treatment of their animals.
lt is also requested that the animal owners (agents) contribute to the feeding and daily care of their pet(s),if possible.
The cost, if any, of returning these animals after the emergency will be at the owners'(agents') expense. lf an animal is not
claimed within thirty (30) days, unless prior arrangements have been made, the animal owner will be notified of possible
adoption or relocation.
It is the responsibility of the animal owner (agent) to keep Bartram Trail Veterinary Hospital aware of where the animal
owner (agent) can be contacted following the emergency.