Pop pick up permission list

Page 1

PICK-UP PERMISSION LIST Name

Relation to dog(s)

Phone

Email

Name

Relation to dog(s)

Phone

Email

Name

Relation to dog(s)

Phone

Email

Name

Relation to dog(s)

Phone

Email

I acknowledge that by listing this/these person(s) as authorized to pick up my dog, I am relieving Paws on Pearl, LLC of all liabilities in giving this person my dog(s).

Owner Signature Print Owner Name Dog Name(s)

Date


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