Flame Cremation Waiver Name(Required) First Last Email(Required) Enter Email Confirm Email Acknowledgment(Required) I understand that my pet’s remains will be flame cremated by a third-party facility, which is not owned by, operated by, or affiliated with Paws into Grace. Liability(Required) I agree to release and indemnify Paws into Grace*, and their owners, members, officers, directors, agents, and employees, from any and all claims, liabilities, costs, or expenses arising from or related to any experience or outcome associated with the flame cremation process. *Paws into Grace is a business under Benson Veterinary Enterprises Inc. Pet's Name(Required)Confirmation(Required) By signing below, I confirm that I have read, understood, and agreed to the terms outlined in this waiver form. Checking this box acts as my digital signature. Name(Required) First Last Date(Required) MM slash DD slash YYYY Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code
