In Case of an Accident:

In the event that I, _________________________________________________
am incapacitated and unable to make my wishes known regarding my dog(s), please honor the following requests:

________________________________________________is to be contacted as soon as possible at the following phone number:
_______________________________.

Call collect and mention my name.  If the above phone number cannot be reached, contact ________________________________________
at the following phone number ____________________________.

All expenses for the dog(s) will be paid by them.

If the dog(s) are not injured, they are to be cared for by the nearest reputable boarding kennel, and be kept there in the best possible manner, until such time as arrangements can be made for their transport home.

If the dog(s) are injured, they are to be cared for by the nearest
reputable veterinarian, I prefer that my own veterinarian: ____________________________
________________________________________________________________________
at ____________________________________________ be contacted regarding decisions about the dog'(s) care and treatment.  If any dog is injured beyond all hope of recovery, that dog is to be humanely euthanized.

Photos and descriptions of my dog(s) are attached along with their health records.  These dogs are tattooed on the __________________________________
or microchipped with this/these identification numbers: ___________________
________________________________________________________________________


The welfare of my dog(s) is my primary concern.

Name:_________________________________________________________________

Address:_______________________________________________________________

City,State,Zip:__________________________________________________________

Phone:________________________________________________________________

Signature______________________________________________________________

OTHER EMERGENCY CONTACTS:

NAME, ADDRESS, PHONE
__________________________________________

__________________________________________

NAME, ADDRESS, PHONE

__________________________________________