I, _______________________________, give permission for Bonnie (Bragdon) Couture,

Member, of Bonnie’s Pet Sitting, LLC to seek any medical attention for my pets that may
                                                               Veterinarian's name____________________________________________
be necessary while under her care, at my Veterinary office name, ___________town____________,
                                                               Veterinarian's Phone # __________________________________________
where I am established as a client that has all of my pet’s (s’) records. I further authorize

you to give out any information pertaining to my pet(s) to Bonnie’s Pet Sitting, LLC.

In the event of an emergency and if my veterinary office’s business hours are not

available, then she may go to the Emergency Vet in Newington, NH and I will repay her

upon completion for any services rendered.

Bonnie (Bragdon) Couture, Member, of Bonnie’s Pet Sitting, LLC will not be

responsible, personally or otherwise, for payment of any veterinary services rendered.

I undertand that Bonnie's Pet Sitting, LLC will make efforts to contact me first and will also
use best judgement as to my pets' care and well-being.

Capped $ Amount?_________________
                                                                               
X______________________________________ Date ____________
Client

X______________________________________ Date ____________
Client

X______________________________________ Date ____________
Authorized Practicing Veterinarian / Staff