Pet Protection Form

What is your residential address?

PO Boxes are not allowed.

Street Address Address Line 2 City State ZIP Code

This Pet Protection Agreement covers all of your current and future pets. If you are unable to care for your pets, the Pet Guardian will become responsible for their continuing care. In some cases, you may want a different person to take care of certain pets. If you would like a different Pet Guardian to care for certain pets, you will need to make a separate Pet Protection Agreement for those other pets.

Is the pet guardian an individual or organization?

Individual
Organization

What is the name of the pet guardian?

What is the pet guardian's address?

Street Address Address Line 2 City State ZIP Code

What is the pet guardian's phone number?

What is the pet guardian's email address?

Many people select a family member or friend to serve as the Pet Guardian to provide for the long-term care of their pet. However, if your selected Pet Guardians are unable or unwilling to serve, you may designate a local shelter or breed rescue as the Organization of Last Resort to serve as the Pet Guardian. Please be aware that acceptance of a pet by an Organization of Last Resort is at the discretion of the organization and subject to its policies.

Would you like to designate an Organization of Last Resort?

Yes
No

What is the organization of last resort?

Please name the organization of last resort and provide as much of their contact information as possible, such as address and phone number.

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Pet Protection Form

If you are stuck on any of these questions do not hesitate to contact us via phone, email, or live chat.

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