Senders Name senders Email Senders Phone Number Senders Address Receivers Name Receivers Email Receivers Phone Number Receivers Address Description of Pet: Breed Sex Male Female Age Pets name Markings, Color In the event the animal(s) described above being transported with my authorization by Ship Pets Online becomes ill or injured and require(s) veterinary care, I, I authorize Ship Pets Online, and/or Randy Myers or his driver to take the animal(s) to a licensed veterinarian. I further authorize treatment to be given, so long as such treatment does not exceed $ I acknowledge by signing below that I will be wholly financially responsible for all care given due to any new or pre-existing conditions I may or may not have been aware of. In the event that the transporter is unable to reach me, I authorize the transporter to make any emergency decisions they deem necessary for the well-being of the pet. By checking the box below I certify that I have read this document and agree to hold Ship Pets Online or it's owners harmless for any illness or the death of my pet due to illness incurred during or after the transport. I agree SHIP PETS ONLINE PLEASE NOTE: THERE IS NO SET TIME THAT YOUR DOG WILL BE PICKED UP OR DELIVERED. THERE IS ONLY A DATE RANGE. I GIVE ESTIMATES BASED ON MILEAGE AND HOURS. WE RUN INTO TRAFFIC, BAD ROADS, AND CONSTRUCTION. ALL SORTS OF THINGS CAN DELAY US. WE WILL CALL YOU OR TEXT YOU WHEN WE ARE APPROXIMATELY 4 HOURS AWAY AND AGAIN AT 1 HOUR AWAY FROM YOU. PLEASE DO NOT TAKE OFF WORK BASED ON THE ORIGINAL ESTIMATED TIME AS WE CANNOT FORESEE WHAT LIES AHEAD ON THE ROADS. ALSO PLEASE REMEMBER THAT WE ARE DRIVING AND A LOT OF AREAS WE DO NOT GET CELL PHONE RECEPTION. DO NOT THINK WE ARE IGNORING YOU, AS SOON AS CELL SERVICE RETURNS WE WILL CALL OR TEXT YOU BACK. ALSO KEEP IN MIND A LOT OF TIMES ONE DRIVER IS DRIVING, THE OTHER DRIVER IS SLEEPING SO PLEASE GIVE US TIME TO RESPOND. (877)327-2714 FOR INQUIRIES CALL I acknowledge that I have read and understand the above statement: I agree **Sender understands thatThis authorization becomes Null & Void upon delivery of this animal to its destination. I understand/ Agree Send